Individual provider Active NPI

Heather Elizabeth Ofak, RN, BSN

  • Pediatric Registered Nurse
  • Harrisburg, PA
National Provider Identifier
1376793760
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Registered NurseTaxonomy code 163WP0200X
License
RN537557 Issued in PA
Practice address
353 Markle Dr
Harrisburg, PA 17111-2762
Phone
(717) 480-4698
Fax
(717) 480-4693
NPI assigned
Sep 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X RN537557 PA Primary

Addresses

Primary practice location

353 Markle Dr
Harrisburg, PA 17111-2762

Mailing address

353 Markle Dr
Harrisburg, PA 17111-2762
Phone (717) 480-4698

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN537557PAMDPediatric Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatria Healthcare, LLC Past Accepting new patients
Pediatria Healthcare, LLC Past Accepting new patients

Organizations & group practices 2

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": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1376793760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 MARKLE DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171112762",
            "telephone_number": "717-480-4698",
            "fax_number": "717-480-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 MARKLE DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171112762",
            "telephone_number": "717-480-4698",
            "fax_number": "717-480-4693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFAK",
        "first_name": "HEATHER",
        "middle_name": "ELIZABETH",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "PA",
            "license": "RN537557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.