Individual provider Active NPI

Heather Hefner, FNP-C

  • Family Nurse Practitioner
  • Avondale, AZ
National Provider Identifier
1336784446
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
231614 Issued in AZ
Practice address
3617 N 103Rd Dr
Avondale, AZ 85392-4477
Phone
(972) 935-3444
NPI assigned
Nov 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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 231614 AZ Primary

Addresses

Primary practice location

3617 N 103Rd Dr
Avondale, AZ 85392-4477

Mailing address

3617 N 103Rd Dr
Avondale, AZ 85392-4477
Phone (972) 935-3444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 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
I20200308000004 AZ Practitioner - Nurse Practitioner 9133554330 Reassigns benefits to 6 organizations
I20231026000290 TX Practitioner - Nurse Practitioner 9133554330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4212 N 16TH St
Phoenix, AZ 85016-5319
Phone (602) 263-1200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Em-I Medical Services PC Nurse Practitioner CurrentSince Dec 1, 2022 Accepting new patients
Exceptional Physicians Group Bullhead City Hospital PLLC CurrentSince Jan 21, 2024 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Aug 12, 2023 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Aug 12, 2023 Accepting new patients
Exceptional Physicians Group Prescott Hospital PLLC CurrentSince Mar 29, 2025 Accepting new patients
Exceptional Physicians Group Yuma Hospital PLLC CurrentSince Dec 10, 2023 Accepting new patients
Exceptional Physicians Group Arizona PLLC CurrentSince Dec 10, 2023 Accepting new patients
Arizona Emergency Medicine Specialists PC CurrentSince Feb 15, 2020 Accepting new patients
Exceptional Health Care Bullhead City LLC PastSince Nov 19, 2023 Accepting new patients
Exceptional Health Care Prescott LLC PastSince Aug 1, 2024 Accepting new patients

Locations

2365 Highway 95
Bullhead City, AZ 86442
Phone (928) 224-2443

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

19060 N John Wayne Pkwy
Maricopa, AZ 85139
Phone (480) 631-0675

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

4822 E State Route 69
Prescott, AZ 86301
Phone (436) 341-7800

2648 S Araby Rd
Yuma, AZ 85365
Phone 4693417800100

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

3514 Cedar Springs Rd
Dallas, TX 75219
Phone (281) 415-6687

Organizations & group practices 10

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": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1336784446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 N 103RD DR",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924477",
            "telephone_number": "972-935-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 N 103RD DR",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924477",
            "telephone_number": "972-935-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFNER",
        "first_name": "HEATHER",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "231614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

Verify at the official NPI Registry.