Individual provider Active NPI

Heather A Urie, CRNP

  • Family Nurse Practitioner
  • N Charleston, SC
National Provider Identifier
1295053486
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20161 Issued in SC
Practice address
6296 Rivers Ave Ste 310
N Charleston, SC 29406-4973
Phone
(843) 266-3870
Fax
(843) 225-3674
NPI assigned
May 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 20161 SC Primary

Addresses

Primary practice location

6296 Rivers Ave Ste 310
N Charleston, SC 29406-4973

Mailing address

6296 Rivers Ave
Ste 310
N Charleston, SC 29406-4973
Phone (843) 887-3274

Other identifiers 1

IdentifierTypeStateIssuer
NP4143MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161012000276 SC Practitioner - Nurse Practitioner 0840473575 Reassigns benefits to 1 organization
I20230511000412 CT Practitioner - Nurse Practitioner 0840473575

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Truesdale Medical Center LLCGroup PAC ID 0042557951, 2 clinicians

Practice addresses (Care Compare)

5064 Rivers Ave
North Charleston, SC 29406-6304
Phone (843) 266-3870

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: heather.parkhill.1@20409.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1295053486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6296 RIVERS AVE",
            "address_2": "STE 310",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294064973",
            "telephone_number": "843-887-3274",
            "fax_number": "843-887-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6296 RIVERS AVE STE 310",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294064973",
            "telephone_number": "843-266-3870",
            "fax_number": "843-225-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URIE",
        "first_name": "HEATHER",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-12",
        "last_updated": "2023-04-05",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP4143",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N Charleston, SC

Sources for this page

Verify at the official NPI Registry.