Individual provider Active NPI

Terisa M. Heevner, FNP

  • Family Nurse Practitioner
  • Blue Springs, MO
National Provider Identifier
1114581287
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2019019679 Issued in MO
Practice address
4715 W US 40 Hwy
Blue Springs, MO 64015-0951
Phone
(816) 229-9118
Fax
(816) 463-7107
NPI assigned
Apr 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2019019679 MO Primary

Addresses

Primary practice location

4715 W US 40 Hwy
Blue Springs, MO 64015-0951

Mailing address

4715 W US 40 Hwy
Blue Springs, MO 64015-0951
Phone (816) 229-9118

Other names 1

  • Miss Terisa M. Jenkins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2019019679MOMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1114581287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 W US 40 HWY",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640150951",
            "telephone_number": "816-229-9118",
            "fax_number": "816-463-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 W US 40 HWY",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640150951",
            "telephone_number": "816-229-9118",
            "fax_number": "816-463-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEEVNER",
        "first_name": "TERISA",
        "middle_name": "M.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019019679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERISA",
            "last_name": "JENKINS",
            "middle_name": "M.",
            "prefix": "MISS",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blue Springs, MO

Sources for this page

Verify at the official NPI Registry.