Heather Smith, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704297734 Issued in MI

Practice address

921 W Sharon Ave
Houghton, MI 49931-1921

Phone

(906) 483-1777

NPI assigned

Jan 15, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Heather Luokkala Former name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: heather.smith.1@8233.direct.athenahealth.com

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.

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  Medicare reassignment NPD
• Bellin Memorial Hospital Inc

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  • NPI 1376649509

  MI

  Medicare reassignment NPD
• Portage Physician Practices Inc

  • Internal Medicine Physician
  • Hancock, MI
  • NPI 1225461684

  MI

  Medicare reassignment NPD
• Bell Physician Practices Inc

  • Rural Health Clinic/Center
  • Ishpeming, MI
  • NPI 1114726676
  NPD
• Portage Physician Practices Inc

  • Rural Health Clinic/Center
  • Calumet, MI
  • NPI 1164106910
  NPD
• Portage Physician Practices Inc.

  • Family Medicine Physician
  • Houghton, MI
  • NPI 1679902191
  NPD
• Bellin Memorial Hospital Inc

  • Family Medicine Physician
  • Green Bay, WI
  • NPI 1033172390
  NPD

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1114567385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 MATHER AVE",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498491032",
            "telephone_number": "906-360-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 W SHARON AVE",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499311921",
            "telephone_number": "906-483-1777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "56720 Calumet Ave",
            "address_purpose": "LOCATION",
            "city": "Laurium",
            "state": "MI",
            "postal_code": "499131967",
            "country_code": "US",
            "telephone_number": "906-481-8952",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Hancock",
            "state": "MI",
            "postal_code": "499301452",
            "country_code": "US",
            "telephone_number": "906-483-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HEATHER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704297734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "LUOKKALA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shopko Stores Operating Co. LLC
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• Scott Alan Shoup, M.D.
• Candace Silvola, RPH
• Smith Holistic Care, LLC
• Jamie Lynn Smith, L.AC., NBC-HWC, LMT
• Michelle Lee Smith, LBSW
• Raymond A Smith, COTA, SWT, CADC-M
• Philip J Smythe, PT
• Matthew J. Solka, DPT

• All providers in Houghton, MI
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.