MRS. IVY L HETTRICK MS ED NPI 1689614257

NPI Information

  • NPI: 1689614257
  • Provider Name: MRS. IVY L HETTRICK, MS ED
  • Classification: Day Training/Habilitation Specialist - 373H00000X
  • Entity Type: Individual
  • Address: 440 EDMOND DR
    DYER, IN
    ZIP 46311
  • Phone: (219) 322-1415

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NPI Details

MRS. Ivy L Hettrick, MS ED is a day training habilitation specialist in Dyer, IN. The provider is individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. MRS. Ivy L Hettrick, MS ED NPI is 1689614257. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

440 EDMOND DR
DYER, IN
ZIP 46311-523
Phone: (219) 322-1415
Fax: (219) 322-1414

The enumeration date for this NPI number is 6/8/2006 and was last updated on 9/2/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1373H00000XDay Training/Habilitation SpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200680450MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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