Chalena R Hetznecker, C.M.F.

Primary specialty

Mastectomy FitterTaxonomy code 224900000X

Practice address

929 N Spring Garden Ave Ste 120
Deland, FL 32720-0900

Phone

(877) 337-7465

Fax

(877) 793-4945

NPI assigned

Dec 4, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1104008895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 N SPRING GARDEN AVE STE 120",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327200900",
            "telephone_number": "877-337-7465",
            "fax_number": "877-793-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N SPRING GARDEN AVE STE 120",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327200900",
            "telephone_number": "877-337-7465",
            "fax_number": "877-793-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETZNECKER",
        "first_name": "CHALENA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "C.M.F.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-04",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "",
            "desc": "Mastectomy Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS,PROSTHETICS & PEDORTHICS, INC",
            "identifier": "000836756O",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet A Heron, FNP
• Yilian Herrera, MS
• Kelsey Herring-Johnson, DNP, APRN, CPNP-PC
• John Charles Hervert, DO
• James Jeremy Hether, D.C.
• Lauren Ashley Higgs, LCSW
• Higher Ground Unlimited
• Nelly Hilaire
• John M Hill, MD
• Brittany Hines

• Mastectomy Fitter in Deland, FL
• Providers in Deland, FL by specialty
• Mastectomy Fitter in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.