Individual provider Active NPI

Felicia Lashawn Heard, NP

  • Pediatric Nurse Practitioner
  • Opelika, AL
National Provider Identifier
1235583741
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1-127071 Issued in AL
Practice address
1995 Pepperell Pkwy Ste 6
Opelika, AL 36801-5460
Phone
(334) 275-7658
NPI assigned
Apr 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 1-127071 AL Primary

Addresses

Primary practice location

1995 Pepperell Pkwy Ste 6
Opelika, AL 36801-5460

Mailing address

2135 Interstate Dr Ste 197
Opelika, AL 36801-1526
Phone (334) 275-7658

Other identifiers 2

IdentifierTypeStateIssuer
003176662BMedicaidGA
003176662AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230502000923 AL Practitioner - Nurse Practitioner 4284099920 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-127071ALMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
In & Out Pedicatrics Pediatrics CurrentSince Mar 31, 2024 Accepting new patients
Children'S Urgent Care, LLC CurrentSince Feb 6, 2023 Accepting new patients

Locations

500 Cahaba Park Cir
Ste 100
Birmingham, AL 35242
Phone (205) 848-2273

2135 Interstate Dr
Opelika, AL 36801
Phone (334) 246-1313

1995 Pepperell Pkwy
Ste 6
Opelika, AL 36801
Phone (334) 275-7658

117 N Chalkville Rd
Trussville, AL 35173
Phone (205) 848-2273

Organizations & group practices 2

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": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1235583741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 INTERSTATE DR STE 197",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368011526",
            "telephone_number": "334-275-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 PEPPERELL PKWY STE 6",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015460",
            "telephone_number": "334-275-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARD",
        "first_name": "FELICIA",
        "middle_name": "LASHAWN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-20",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AL",
            "license": "1-127071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003176662B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003176662A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelika, AL

Sources for this page

Verify at the official NPI Registry.