Individual provider Active NPI

Heather Alison Hannon, DNP

  • Adult Health Nurse Practitioner
  • Boston, MA
National Provider Identifier
1023433133
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
207RC0000X Issued in MA
Practice address
55 Fruit St
Boston, MA 02114-2621
Phone
(781) 487-6212
Fax
(781) 487-6201
NPI assigned
Feb 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 0024173723 VA
Oncology Registered Nurse 163WX0200X 0001184428 VA
Adult Health Nurse Practitioner 363LA2200X 207RC0000X MA Primary

Addresses

Primary practice location

55 Fruit St
Boston, MA 02114-2621

Mailing address

55 Fruit St
Boston, MA 02114-2621
Phone (781) 487-6212

Other names 1

  • Miss Heather Alison Young Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20171201000695 VA Practitioner - Nurse Practitioner 1658638564 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

14051 St Francis Blvd
Midlothian, VA 23114-3203

5875 Bremo Rd
Suite 712
Richmond, VA 23226-1928
Phone (804) 288-8900

8262 Atlee Rd
Suite 201
Mechanicsville, VA 23116-1816
Phone (804) 764-7220

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0001184428VAMDOncology Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours-Richmond Community Hospital LLC CurrentSince Jan 1, 2024 Accepting new patients
Bon Secours-Richmond Community Hospital LLC Current Accepting new patients
Bon Secours-Richmond Community Hospital LLC CurrentSince Jan 1, 2024 Accepting new patients
Virginia Urology Center CurrentSince Feb 24, 2020 Accepting new patients
Virginia Urology Center, P.C. CurrentSince Feb 24, 2020 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Jul 1, 2022 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Jul 1, 2022 Accepting new patients

Locations

8262 Atlee Rd
Ste 201
Mechanicsville, VA 23116
Phone (804) 325-8720

14051 St Francis Blvd
Ste 2210
Midlothian, VA 23114
Phone (804) 594-3130

5875 Bremo Rd
Ste 209
Richmond, VA 23226
Phone (804) 285-1722

9101 Stony Point Dr
Richmond, VA 23235

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

5875 Bremo Rd
Ste 712
Richmond, VA 23226
Phone (804) 285-9416

Interoperability endpoints

  • Direct secure messaging: hhannon1299420@direct.bsmhealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1023433133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "781-487-6212",
            "fax_number": "781-487-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "781-487-6212",
            "fax_number": "781-487-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNON",
        "first_name": "HEATHER",
        "middle_name": "ALISON",
        "name_prefix": "Ms.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-26",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024173723",
            "primary": false
        },
        {
            "code": "163WX0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Oncology",
            "state": "VA",
            "license": "0001184428",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "207RC0000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "YOUNG",
            "middle_name": "ALISON",
            "prefix": "MISS",
            "credential": "RN MSN DNP AGN-NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.