Individual provider Active NPI

Tatiana Heffner

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1043148794
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
RN Issued in NV
Practice address
4730 E Craig Rd Unit 2064
Las Vegas, NV 89115-1858
Phone
(907) 793-7904
NPI assigned
May 12, 2026
Last updated
May 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X RN NV Primary

Addresses

Primary practice location

4730 E Craig Rd Unit 2064
Las Vegas, NV 89115-1858

Mailing address

4730 E Craig Rd Unit 2064
Las Vegas, NV 89115-1858

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
RNNVMDRegistered Nurse First Assistant

NPI Registry JSON

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

{
    "created_epoch": "1778544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1043148794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 E CRAIG RD UNIT 2064",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891151858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 E CRAIG RD UNIT 2064",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891151858",
            "telephone_number": "907-793-7904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFFNER",
        "first_name": "TATIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-12",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.