Heather Blackstock Causseaux, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

0024168885 Issued in VA

Practice address

3289 Woodburn Rd
Suite 130
Annandale, VA 22003-6800

Phone

(571) 389-7140

Fax

(703) 992-7584

NPI assigned

Jul 26, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1366755829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3289 WOODBURN RD",
            "address_2": "SUITE 130",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220036800",
            "telephone_number": "571-389-7140",
            "fax_number": "703-992-7584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3289 WOODBURN RD",
            "address_2": "SUITE 130",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220036800",
            "telephone_number": "571-389-7140",
            "fax_number": "703-992-7584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUSSEAUX",
        "first_name": "HEATHER",
        "middle_name": "BLACKSTOCK",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-26",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024168885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Health Nurse Practitioner in Annandale, VA
• Providers in Annandale, VA by specialty
• Adult Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.