Individual provider Active NPI

Grace L Heap, BSN, RN, PHN

  • Registered Nurse
  • San Diego, CA
National Provider Identifier
1407642929
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN95387772 Issued in CA
Practice address
3895 Midway Dr
San Diego, CA 92110-5248
Phone
(641) 629-0931
NPI assigned
Apr 21, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN95387772 CA Primary
Registered Nurse 163W00000X 181081 IA

Addresses

Primary practice location

3895 Midway Dr
San Diego, CA 92110-5248

Mailing address

3895 Midway Dr Apt 315
San Diego, CA 92110-5232
Phone (641) 629-0931

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
RN95387772CAMDRegistered Nurse
181081IAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1407642929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3895 MIDWAY DR APT 315",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105232",
            "telephone_number": "641-629-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3895 MIDWAY DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105248",
            "telephone_number": "641-629-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAP",
        "first_name": "GRACE",
        "middle_name": "L",
        "credential": "BSN, RN, PHN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-21",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN95387772",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "181081",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; 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.