Active NPI
Heather R McDaniel, APRN
- Nurse Practitioner
- Clarksville, IN
National Provider Identifier
1184125569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3012122
- Practice address
- 4601 Medical Plaza Way
Clarksville, IN 47129-9204 - Phone
- (930) 203-1947
- NPI assigned
- Feb 22, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3012122 | KY | Primary |
Addresses
Primary practice location
4601 Medical Plaza Way
Clarksville, IN 47129-9204
Mailing address
4601 Medical Plaza Way
Clarksville, IN 47129-9204
Phone (930) 203-1947
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pearl Medical Practice PLLC | Past | Accepting new patients |
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.
-
- Primary Care Clinic/Center
- Louisville, KY
- NPI 1669841631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764720000000",
"number": "1184125569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 MEDICAL PLAZA WAY",
"city": "CLARKSVILLE",
"state": "IN",
"postal_code": "471299204",
"telephone_number": "930-203-1947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 MEDICAL PLAZA WAY",
"city": "CLARKSVILLE",
"state": "IN",
"postal_code": "471299204",
"telephone_number": "930-203-1947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDANIEL",
"first_name": "HEATHER",
"middle_name": "R",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-22",
"last_updated": "2025-12-03",
"certification_date": "2025-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3012122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.