HEATHER KODER PTA – NPI #1285435172
Specialist/Technologist, Other

General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

HEATHER KODER is a technologist located in GREAT LAKES, IL. NPPES has assigned the NPI number 1285435172 to HEATHER KODER on March 24, 2025. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 246Z00000X from the Health Care Provider Taxonomy code set, which is classified as Specialist/Technologist, Other.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HEATHER KODER below.

NPI Profile for
HEATHER KODER

NPI Number
1285435172
Enumeration Date

(more than a year ago)
Entity Type
Type-1  Individual (Female)
Legal Name
HEATHER KODER
Credentials
PTA
Primary location
USS TRANQUILITY 3410 ILLINOIS ST
GREAT LAKES, IL 60088
Phone: (224) 392-6914 Fax:
Mailing address
3852 N PONTIAC AVE
CHICAGO, IL 60634-1929
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Mar 19, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
246Z00000X
- Specialist/Technologist, Other (Primary)
IL 160.009101

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.