Active NPI
Catherine Heagy, CRNP
- Adult Health Nurse Practitioner
- Broomall, PA
National Provider Identifier
1366980179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- SP015233
- Practice address
- 30 Lawrence Rd
Suite 200
Broomall, PA 19008-3301 - Phone
- (484) 446-3648
- Fax
- (484) 446-3637
- NPI assigned
- Feb 1, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | SP015233 | PA | Primary |
Addresses
Primary practice location
30 Lawrence Rd
Suite 200
Broomall, PA 19008-3301
Mailing address
30 Lawrence Rd
Suite 200
Broomall, PA 19008-3301
Phone (484) 446-3648
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP015233 | PA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Precision Radiation Oncology PC | Past | Accepting new patients |
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.
-
- Radiation Oncology Physician
- Chester, PA
- NPI 1407133127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485907200000",
"number": "1366980179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 LAWRENCE RD",
"address_2": "SUITE 200",
"city": "BROOMALL",
"state": "PA",
"postal_code": "190083301",
"telephone_number": "484-446-3648",
"fax_number": "484-446-3637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 LAWRENCE RD",
"address_2": "SUITE 200",
"city": "BROOMALL",
"state": "PA",
"postal_code": "190083301",
"telephone_number": "484-446-3648",
"fax_number": "484-446-3637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEAGY",
"first_name": "CATHERINE",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-01",
"last_updated": "2017-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "SP015233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broomall, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.