Active NPI
Brandy Dawn Heaton, FNP-C APRN
- Family Nurse Practitioner
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP54278
- Practice address
- 4801 McMahon Blvd NW Ste 245
Albuquerque, NM 87114-5478 - Phone
- (505) 315-3541
- Fax
- (505) 445-4904
- NPI assigned
- Nov 21, 2018
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP54278 | NM | Primary |
Addresses
Primary practice location
4801 McMahon Blvd NW Ste 245
Albuquerque, NM 87114-5478
Mailing address
PO Box 44308
Rio Rancho, NM 87174-4308
Phone (505) 315-3541
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN81953 | Other | NM | RN LICENSE |
| CS00226579 | Other | NM | NM CONTROLLED SUBSTANCE |
| CNP54278 | Other | NM | CNP LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4801 McMahon Blvd NW
Suite 245
Albuquerque, NM 87114-5478
Phone (505) 315-3541
Hospital & facility affiliations
- Lovelace Women'S Hospital
- Lovelace Westside Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP54278 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merit Family Medicine | Current | Accepting new patients |
Locations
4801 McMahon Blvd NW
Ste 245
Albuquerque, NM 87114
Phone (505) 315-3541
4020 Peggy Rd SE
Ste D
Rio Rancho, NM 87124
Phone (505) 896-2242
4101 Barbara Loop SE
Ste C
Rio Rancho, NM 87124
Phone (505) 315-3541
Interoperability endpoints
- meritfamilymedicine.brandyheaton@142729.advancedmd-direct.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.
-
- Primary Care Clinic/Center
- Albuquerque, NM
- NPI 1881251411
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1649373887
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1982799375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1346719291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 44308",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871744308",
"telephone_number": "505-315-3541",
"fax_number": "505-445-4904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 MCMAHON BLVD NW STE 245",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871145478",
"telephone_number": "505-315-3541",
"fax_number": "505-445-4904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEATON",
"first_name": "BRANDY",
"middle_name": "DAWN",
"credential": "FNP-C APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-21",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "CNP54278",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "RN81953",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NM CONTROLLED SUBSTANCE",
"identifier": "CS00226579",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CNP LICENSE",
"identifier": "CNP54278",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.