Active NPI
Heather M Dallas, FNP
- Nurse Practitioner
- Hutchinson, KS
National Provider Identifier
1033456744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 53-78624
- Practice address
- 2101 N Waldron St
Hutchinson, KS 67502-1197 - Phone
- (620) 669-2500
- NPI assigned
- Jan 15, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP123115 | TX | |
| Nurse Practitioner | 363L00000X | 53-78624 | KS | Primary |
Addresses
Primary practice location
2101 N Waldron St
Hutchinson, KS 67502-1197
Mailing address
2101 N Waldron St
Hutchinson, KS 67502-1197
Phone (620) 669-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F0133066 | Other | TX | AANP CERTIFICATION |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | heatherdallas@hcpa.allscriptsdirect.net | Direct |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629763200000",
"number": "1033456744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 N WALDRON ST",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675021197",
"telephone_number": "620-669-2500",
"fax_number": "620-694-4166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 N WALDRON ST",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675021197",
"telephone_number": "620-669-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALLAS",
"first_name": "HEATHER",
"middle_name": "M",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-15",
"last_updated": "2021-08-24",
"certification_date": "2021-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP123115",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "53-78624",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AANP CERTIFICATION",
"identifier": "F0133066",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "heatherdallas@hcpa.allscriptsdirect.net",
"affiliation": "N",
"endpointDescription": "Hutchinson Clinic, PA",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "2101 N Waldron St",
"city": "Hutchinson",
"state": "KS",
"country_code": "US",
"postal_code": "675021197",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hutchinson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.