Heather Gough, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

0001259720 Issued in VA

Practice address

3244 E Morenci Rd
San Tan Valley, AZ 85143-4552

Phone

(833) 243-2780

NPI assigned

Jun 12, 2018

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)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• 2 Hearts Home Health Care LLC

  • Home Health Agency
  • Gilbert, AZ
  • NPI 1427665389
  NPD (past)

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1386137453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3244 E MORENCI RD",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851434552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3244 E MORENCI RD",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851434552",
            "telephone_number": "833-243-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUGH",
        "first_name": "HEATHER",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "VA",
            "license": "0001259720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Health Urgent Care, PLLC
• Good Hope Resources Inc
• Good Hope Resources Inc
• Good Samaritan Homes
• Siara Goodyke
• Grace Family Therapy, Inc
• Cayla Graham
• Grand Canyon Psychiatric Services PLLC (Grand Canyon Psychiatric Services)
• Kaela Janelle Grant
• Alva Christina Gray

• Home Health Registered Nurse in San Tan Valley, AZ
• Providers in San Tan Valley, AZ by specialty
• Home Health Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.