Active NPI
Melissa Lynn Heaps, NP
- Nurse Practitioner
- Mount Pleasant, SC
National Provider Identifier
1083229439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 23498
- Practice address
- 1054 Johnnie Dodds Blvd
Mount Pleasant, SC 29464-3153 - Phone
- (843) 388-7545
- NPI assigned
- Sep 12, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 23498 | SC | Primary |
Addresses
Primary practice location
1054 Johnnie Dodds Blvd
Mount Pleasant, SC 29464-3153
Mailing address
1054 Johnnie Dodds Blvd
Mount Pleasant, SC 29464-3153
Other names 1
- Mrs. Melissa Lynn Heaps
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2021 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23498 | SC | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713744000000",
"number": "1083229439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1054 JOHNNIE DODDS BLVD",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294643153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1054 JOHNNIE DODDS BLVD",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294643153",
"telephone_number": "843-388-7545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEAPS",
"first_name": "MELISSA",
"middle_name": "LYNN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-12",
"last_updated": "2024-04-22",
"certification_date": "2024-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "23498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "HEAPS",
"middle_name": "LYNN",
"prefix": "MRS.",
"credential": "NP",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.