Heather Neville, M.D., PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

M3338 Issued in TX

Legal business name

HEATHER NEVILLE, M.D., PLLC

Practice address

1425 8TH Ave
Fort Worth, TX 76104-4151

Phone

(817) 926-4118

Fax

(817) 926-4362

NPI assigned

May 17, 2016

Last updated

Aug 25, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heather Neville, M.D.NPI 1194946855

Title

Owner

Phone

(817) 917-1307

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heather Leigh Neville, M.D.

  • Obstetrics Physician
  • Fort Worth, TX
  • NPI 1194946855
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472083200000",
    "number": "1427405711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044151",
            "telephone_number": "817-926-4118",
            "fax_number": "817-926-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044151",
            "telephone_number": "817-926-4118",
            "fax_number": "817-926-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER NEVILLE, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-17",
        "last_updated": "2016-08-25",
        "status": "A",
        "authorized_official_last_name": "NEVILLE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-917-1307",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "M3338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.