Individual provider Active NPI

Heather K Patterson, R.N.

  • Registered Nurse
  • Canandaigua, NY
National Provider Identifier
1174955926
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
22667495 Issued in NY
Practice address
5565 Centerpointe Blvd Apt 5
Canandaigua, NY 14424-7837
Phone
(585) 766-8064
NPI assigned
Aug 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 22667495 NY Primary

Addresses

Primary practice location

5565 Centerpointe Blvd Apt 5
Canandaigua, NY 14424-7837

Mailing address

5565 Centerpointe Blvd Apt 5
Canandaigua, NY 14424-7837
Phone (585) 766-8064

Other practice location 1

1000 Elmwood Ave # Door5
Rochester, NY 14620-3042
Phone (585) 271-2520

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
22667495NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1375574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1174955926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 CENTERPOINTE BLVD APT 5",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144247837",
            "telephone_number": "585-766-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 CENTERPOINTE BLVD APT 5",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144247837",
            "telephone_number": "585-766-8064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Elmwood Ave # Door5",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146203042",
            "country_code": "US",
            "telephone_number": "585-271-2520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "HEATHER",
        "middle_name": "K",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-04",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "22667495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canandaigua, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.