Individual provider Active NPI

Heidi Lynn Sullivan, DC

  • Chiropractor
  • Westfield, IN
National Provider Identifier
1114688140
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08003274A Issued in IN
Practice address
16848 Southpark Dr Ste 300
Westfield, IN 46074-8132
Phone
(317) 799-1023
NPI assigned
Jan 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08003274A IN Primary

Addresses

Primary practice location

16848 Southpark Dr Ste 300
Westfield, IN 46074-8132

Mailing address

16848 Southpark Dr Ste 300
Westfield, IN 46074-8132
Phone (317) 799-1023

Other names 1

  • Heidi Moe Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220118000291 IN Practitioner - Chiropractic 0244622694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brinza Spine and Sport LLCGroup PAC ID 9931599271, 2 clinicians

Practice addresses (Care Compare)

16848 Southpark Dr
Suite 300
Westfield, IN 46074-8132
Phone (317) 799-1023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08003274AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Brinza Spine and Sport LLC Chiropractor CurrentSince Nov 10, 2025 Accepting new patients

Locations

16848 Southpark Dr
Ste 300
Westfield, IN 46074
Phone (317) 799-1023

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1114688140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16848 SOUTHPARK DR STE 300",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460748132",
            "telephone_number": "317-799-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16848 SOUTHPARK DR STE 300",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460748132",
            "telephone_number": "317-799-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "HEIDI",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-03",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003274A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "MOE",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.