Heather Shawn Page, RN, CCM

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

197601 Issued in NC

Practice address

4222 E Brief Rd
Monroe, NC 28110-1025

Phone

(704) 904-7182

NPI assigned

Jun 5, 2023

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1396439352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 E BRIEF RD",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281101025",
            "telephone_number": "704-904-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 E BRIEF RD",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281101025",
            "telephone_number": "704-904-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "HEATHER",
        "middle_name": "SHAWN",
        "credential": "RN, CCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "WA",
            "license": "RN61008537",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "197601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elnita Totarsha Ottey, LCMHC
• Ourhealth Professional Physician Group, LLC
• Nancy B Outwater, OT
• Owens Therapeutic Services, LLC
• Ashley Elizabeth Owens, MA
• Robert Leslie Page, MSW, PHD
• Chin Ho Pak, M.D.
• Sarah Marie-Leonall Palacio, PHARMD
• Michelle Palincas Latis, FNP-C
• Ajitha Reddy Palukuru, MD

• Registered Nurse in Monroe, NC
• Providers in Monroe, NC by specialty
• Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.