Laura J Heitz, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

17189.0261 Issued in WY

Practice address

2620 Commercial Way
Suite 051
Rock Springs, WY 82901-4755

Phone

(307) 382-2080

Fax

(307) 382-5099

NPI assigned

Oct 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in WY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Total Family Health, PC

  • Family Nurse Practitioner
  • Rock Springs, WY
  • NPI 1083806111
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264377600000",
    "number": "1013090554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 COMMERCIAL WAY",
            "address_2": "SUITE 051",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014755",
            "telephone_number": "307-382-2080",
            "fax_number": "307-382-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 COMMERCIAL WAY",
            "address_2": "SUITE 051",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014755",
            "telephone_number": "307-382-2080",
            "fax_number": "307-382-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEITZ",
        "first_name": "LAURA",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2010-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "17189.0261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "312190",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "260064367",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE NURSING LICENSE",
            "identifier": "17189.0261",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118483100",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Scott Hays
• Health West, Inc. (Health West Rock Springs Dental)
• Health West, Inc. (Health West Rock Springs Pharmacy - 340B)
• Health West, Inc. (Health West Rock Springs)
• Jacob Heath, DDS
• Helping Boundaries Widen, LLC
• Andrea Hemmert
• Sandi Dee Henderson
• Lisa Ahmed Herrera
• High Country Hearing Centers LLC (High Country Hearing Centers)

• Family Nurse Practitioner in Rock Springs, WY
• Providers in Rock Springs, WY by specialty
• Family Nurse Practitioner in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.