Lisa Anne Heider, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

52096 Issued in SC

Practice address

2020 W Croft Cir Apt a
Spartanburg, SC 29302-3075

Phone

(919) 641-7517

NPI assigned

Oct 9, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1633737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633737600000",
    "number": "1043972813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W CROFT CIR APT A",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293023075",
            "telephone_number": "919-641-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 W CROFT CIR APT A",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293023075",
            "telephone_number": "919-641-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDER",
        "first_name": "LISA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-09",
        "last_updated": "2021-10-09",
        "certification_date": "2021-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "SC",
            "license": "52096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julius Hedden, MD
• Rosalyn Yvette Heers, NP
• Sean Heflin, DO
• Courtney Lynn Hegener, OD
• Kushal Hegneshwar, DC
• David Jacob Hellman, CRNA
• Christopher Reed Helms, PHARMD
• Helpful Hearts Home Care, LLC
• Helping Hands Home Care of Spartanburg, Inc.
• Jessica Marie Hemsoth, D.O.

• Licensed Practical Nurse in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Licensed Practical Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.

Verify at the official NPI Registry.