Individual provider Active NPI

Makayla Ann Heaver

  • Licensed Practical Nurse
  • Danville, WV
National Provider Identifier
1023731122
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
36249 Issued in WV
Practice address
298 Tricorn Rd
Danville, WV 25053-7148
Phone
(304) 369-1385
NPI assigned
Sep 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 36249 WV Primary

Addresses

Primary practice location

298 Tricorn Rd
Danville, WV 25053-7148

Mailing address

181 Foxview LN
Bob White, WV 25028-9010

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL desktop/tablet

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
36249WVMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Boone Memorial Homecare, LLC CurrentSince Sep 25, 2022 Accepting new patients

Locations

298 Tricorn Rd
Danville, WV 25053
Phone (304) 369-1385

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1023731122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 FOXVIEW LN",
            "city": "BOB WHITE",
            "state": "WV",
            "postal_code": "250289010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 TRICORN RD",
            "city": "DANVILLE",
            "state": "WV",
            "postal_code": "250537148",
            "telephone_number": "304-369-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAVER",
        "first_name": "MAKAYLA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WV",
            "license": "36249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "desktop/tablet",
            "affiliation": "N",
            "address_1": "298 Tricorn Rd",
            "city": "Danville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "250537148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Danville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.