Active NPI
Heather A Hunstable, FNP
- Family Nurse Practitioner
- Midland, TX
National Provider Identifier
1407292212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP128245
- Practice address
- 400 Rosalind Redfern Grover Pkwy
Midland, TX 79701 - Phone
- (432) 221-2165
- Fax
- (806) 723-6532
- NPI assigned
- May 20, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 17512 | TN | |
| Family Nurse Practitioner | 363LF0000X | AP128245 | TX | Primary |
Addresses
Primary practice location
400 Rosalind Redfern Grover Pkwy
Midland, TX 79701
Mailing address
2215 Nashville Ave
Lubbock, TX 79410-1105
Phone (806) 725-5844
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 372602801 | Medicaid | TX | |
| 03782824 | Medicaid | NM | |
| 577532YKT8 | Other | TX | MEDICARE |
| 1407292212 | Other | TX | FIRSTCARE |
| 8490MC | Other | TX | BCBSTX |
Other names 1
- Heather A Lucht
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17512 | TN | MD | Family Nurse Practitioner |
| AP128245 | TX | MD | Family Nurse Practitioner |
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.
-
dba Aspire Allergy & Sinus
- Allergy & Immunology Physician
- Austin, TX
- NPI 1639510803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532995200000",
"number": "1407292212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2215 NASHVILLE AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101105",
"telephone_number": "806-725-5844",
"fax_number": "806-726-5323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 ROSALIND REDFERN GROVER PKWY",
"city": "MIDLAND",
"state": "TX",
"postal_code": "79701",
"telephone_number": "432-221-2165",
"fax_number": "806-723-6532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNSTABLE",
"first_name": "HEATHER",
"middle_name": "A",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-20",
"last_updated": "2018-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "17512",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP128245",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "372602801",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03782824",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "577532YKT8",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTCARE",
"identifier": "1407292212",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX",
"identifier": "8490MC",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "LUCHT",
"middle_name": "A",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.