Individual provider Active NPI

Heather A. Crane, FNP

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1194074443
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3017626 Issued in KY
Practice address
2406 W Broadway
Louisville, KY 40211-1008
Phone
(502) 775-1211
Fax
(502) 443-9391
NPI assigned
Sep 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3017626 KY Primary
Family Nurse Practitioner 363LF0000X AP4652 AZ

Addresses

Primary practice location

2406 W Broadway
Louisville, KY 40211-1008

Mailing address

2406 W Broadway
Louisville, KY 40211-1008
Phone (502) 775-1211

Other practice location 1

E Hwy 160 to Rte 59
Kayenta, AZ 86033
Phone (928) 697-8154

Other practice location 2

1425 W Broadway
Louisville, KY 40203-2059
Phone (502) 479-8930

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

OrganizationSpecialtyStatusNew patients
Canyonlands Community Health Care Past Accepting new patients
District Medical Group, Inc Past Accepting new patients
Canyonlands Community Health Care Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1346544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1194074443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 W BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402111008",
            "telephone_number": "502-775-1211",
            "fax_number": "502-443-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 W BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402111008",
            "telephone_number": "502-775-1211",
            "fax_number": "502-443-9391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "E Hwy 160 to Rte 59",
            "address_purpose": "LOCATION",
            "city": "Kayenta",
            "state": "AZ",
            "postal_code": "86033",
            "country_code": "US",
            "telephone_number": "928-697-8154",
            "fax_number": "928-697-8559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1425 W Broadway",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402032059",
            "country_code": "US",
            "telephone_number": "502-479-8930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRANE",
        "first_name": "HEATHER",
        "middle_name": "A.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-02",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3017626",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4652",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.