Alexa Heacock, RN
Individual provider Active NPI Registered Nurse · Ada, OH
NPI 1295650208 · NPPES record last updated Aug 11, 2026
Key facts
- NPI
- 1295650208
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN.391883 (OH)
- Practice address
- 725 W North Ave
Ada, OH 45810-1176 - Phone
- (419) 634-6421
- NPI assigned
- Aug 11, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ada Exempted Village School District | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.391883 | OH | Yes |
Addresses
Primary practice location
725 W North Ave
Ada, OH 45810-1176
Mailing address
725 W North Ave
Ada, OH 45810-1176
Other providers in Ada, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.