Heather Nicholson, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

71004996A Issued in IN

Practice address

504 3Rd Ave
Jasper, IN 47546-3503

Phone

(812) 964-5750

Fax

(812) 964-5750

NPI assigned

Jul 7, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Piece by Piece Counseling Center, LLC

  • Clinical Social Worker
  • Jasper, IN
  • NPI 1114794062
  NPD

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1356757793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 3RD AVE",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475463503",
            "telephone_number": "812-964-5750",
            "fax_number": "812-964-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 3RD AVE",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475463503",
            "telephone_number": "812-964-5750",
            "fax_number": "812-964-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "HEATHER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-07",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28166000C",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71004996A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Nettleton, MD
• Karen Michelle Neuhoff, M.S., CCC-SLP
• Newburgh Urgent Care LLC (Mercy Urgent Care LLC)
• Isaac John Newhouse
• Paige Newhouse
• Hannah Nixon, PTA
• Johnathan Nold, MD
• Bernard M Nonte, DC
• Norris & Love Orthopaedic & Sports PC (Norris, Blessinger & Woebkenberg Orthopaedics & Spine)
• Randall Gene Norris, MD

• Psychiatric/Mental Health Nurse Practitioner in Jasper, IN
• Providers in Jasper, IN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.