Active NPI
Heather Lynnette Oliver, RTR
- Technician/Technologist
- New London, IA
National Provider Identifier
1205571213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician/Technologist
- License
- 100686
- Practice address
- 2521 278TH St
New London, IA 52645-9199 - Phone
- (319) 931-7529
- NPI assigned
- May 3, 2022
- 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 |
|---|---|---|---|---|
| Technician/Technologist | 156F00000X | 100686 | IA | Primary |
Addresses
Primary practice location
2521 278TH St
New London, IA 52645-9199
Mailing address
2521 278TH St
New London, IA 52645-9199
Phone (319) 931-7529
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100686 | IA | MD | Technician/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651536000000",
"number": "1205571213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2521 278TH ST",
"city": "NEW LONDON",
"state": "IA",
"postal_code": "526459199",
"telephone_number": "319-931-7529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2521 278TH ST",
"city": "NEW LONDON",
"state": "IA",
"postal_code": "526459199",
"telephone_number": "319-931-7529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "HEATHER",
"middle_name": "LYNNETTE",
"credential": "RTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-03",
"last_updated": "2022-05-03",
"certification_date": "2022-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "156F00000X",
"taxonomy_group": "",
"desc": "Technician/Technologist",
"state": "IA",
"license": "100686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New London, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.