Heather Dawn Petry, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

70678 Issued in WV

Practice address

2404 Wise Rd
Conway, SC 29526-5521

Phone

(843) 365-8884

Fax

(843) 365-6697

NPI assigned

Jul 2, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ms_hpetry@landmarkhealth-direct.org
• Direct secure messaging: hpetry@landmarkhealth-direct.org

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.

• Centerwell Senior Primary Care SC JV PC

  • Internal Medicine Physician
  • West Columbia, SC
  • NPI 1962101501
  Medicare reassignment NPD
• Centerwell Senior Primary Care SC JV PC

  • Internal Medicine Physician
  • Columbia, SC
  • NPI 1356040992
  NPD
• Centerwell Senior Primary Care SC JV PC

  • Internal Medicine Physician
  • North Augusta, SC
  • NPI 1508671132
  NPD
• Prospero Health Partners, P.C.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Memphis, TN
  • NPI 1376187849

  Family

  NPD (past)
• Prospero Health Partners, P.C.

  • General Practice Physician
  • Colorado Springs, CO
  • NPI 1487361267
  NPD (past)

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1427464148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 WISE RD",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295265521",
            "telephone_number": "843-365-8884",
            "fax_number": "843-365-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 WISE RD",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295265521",
            "telephone_number": "843-365-8884",
            "fax_number": "843-365-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRY",
        "first_name": "HEATHER",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "26858",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN70678",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "70678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sybil Renee Perez
• Perfect View Dental
• Jessica Perkins
• Hailey Peters
• Jennifer Petiteau
• Jill Frances Phelan, DPT
• Andre Ricardo Phillips, MD
• Audrey Phillips, BA, CAC-P
• Franziska C. W. Phillips, M.D.
• Kyle Hunter Phillips, PHARMD

• Family Nurse Practitioner in Conway, SC
• Providers in Conway, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.

Verify at the official NPI Registry.