Individual provider Active NPI

Nathalie Heekin, PHARMD

  • Pharmacist
  • Colonial Heights, VA
National Provider Identifier
1154707214
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202205887 Issued in VA
Practice address
407 Highland Ave
Colonial Heights, VA 23834-3145
Phone
(804) 387-1814
NPI assigned
Jul 30, 2015
Last updated
Jun 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202205887 VA Primary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RP0007405 WV

Addresses

Primary practice location

407 Highland Ave
Colonial Heights, VA 23834-3145

Mailing address

407 Highland Ave
Colonial Heights, VA 23834-3145
Phone (804) 387-1814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
0202205887VAMDPharmacist
RP0007405WVMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1154707214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 HIGHLAND AVE",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238343145",
            "telephone_number": "804-387-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 HIGHLAND AVE",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238343145",
            "telephone_number": "804-387-1814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEEKIN",
        "first_name": "NATHALIE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-30",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202205887",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WV",
            "license": "RP0007405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.