Active NPI
Patricia Heasty, WHNP
- Women's Health Nurse Practitioner
- Raleigh, NC
National Provider Identifier
1407847940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 940048
- Practice address
- 4414 Lake Boone TRL
Ste 205
Raleigh, NC 27607-7513 - Phone
- (919) 788-4444
- Fax
- (919) 788-4464
- NPI assigned
- Nov 3, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 940048 | NC | Primary |
Addresses
Primary practice location
4414 Lake Boone TRL
Ste 205
Raleigh, NC 27607-7513
Mailing address
4414 Lake Boone TRL
Ste 205
Raleigh, NC 27607-7513
Phone (919) 788-4444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2599199A | Other | NC | MEDICARE |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rex Hospital, Inc | Past | Accepting new patients | |
| Rex Hospital, Inc. | 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.
-
- Pharmacy
- Raleigh, NC
- NPI 1174624803
-
- Nutrition Education Nutritionist
- Raleigh, NC
- NPI 1821472572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338768000000",
"number": "1407847940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4414 LAKE BOONE TRL",
"address_2": "STE 205",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077513",
"telephone_number": "919-788-4444",
"fax_number": "919-788-4464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4414 LAKE BOONE TRL",
"address_2": "STE 205",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077513",
"telephone_number": "919-788-4444",
"fax_number": "919-788-4464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEASTY",
"first_name": "PATRICIA",
"name_prefix": "Ms.",
"credential": "WHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-03",
"last_updated": "2012-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NC",
"license": "940048",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "2599199A",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.