Andrea Heeter, PA-C, ATC

Individual provider Athletic Trainer · NPI 1467509612

Andrea Heeter, PA-C, ATC is a Physician Assistant in Santo Domingo, New Mexico. Qualified in 2017, 9 years ago. Practices with Dhhs IHS Phoenix Area, a 73-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying: 9
Licensed in: FL
In the registry since: 2007
Specialties on file: 2

What do these letters mean?

PA-C — Physician Assistant, Certified: A physician assistant who holds current national certification.
ATC — Certified Athletic Trainer: Prevents and treats sport and activity injuries.

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Practice location Partly verified

Some contact details are missing from the federal record.

Santo Domingo Health Center 85 Hwy 22
Santo Domingo, NM 87052
Phone: (505) 465-3060
Fax: (505) 465-1185

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

10550 Ray Road, Ponte Vedra, FL 32801 — (904) 254-1311

Specialties & licences

Physician Assistant (primary)	Taxonomy 363A00000X · Licence 9110591 (FL)
Athletic Trainer	Taxonomy 2255A2300X

Record details

NPI number	1467509612
Entity type	Individual (Type 1)
Gender	Female
Credentials	PA-C , ATC
Sole proprietor	No
NPI enumerated	January 3, 2007
Last updated in NPPES	March 17, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	PHYSICIAN ASSISTANT
Medical school	OTHER
Graduated	2017 (9 years in practice)
Group practice	Dhhs Ihs Phoenix Area — 73 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount
Practice locations	2 on file with Medicare