Individual provider Active NPI

Heather Lee Hasara, APRN, CPNP-PC,FNP-C

  • Family Nurse Practitioner
  • Conroe, TX
National Provider Identifier
1437569548
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1059420 Issued in TX
Practice address
12235 Little Blue Heron LN
Conroe, TX 77304-1689
Phone
(936) 236-9147
NPI assigned
Apr 29, 2014
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 806376 TX
Lactation Consultant (Registered Nurse) 163WL0100X L-50770 TX
Pediatric Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0200X 1059420 TX
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X 1059420 TX
Family Nurse Practitioner 363LF0000X 1059420 TX Primary

Addresses

Primary practice location

12235 Little Blue Heron LN
Conroe, TX 77304-1689

Mailing address

12235 Little Blue Heron LN
Conroe, TX 77304-1689
Phone (936) 236-9147

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250303003091 TX Practitioner - Nurse Practitioner 0547781858 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
806376TXMDLactation Consultant (Registered Nurse)
L-50770TXMDLactation Consultant (Registered Nurse)
1059420TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dunnahoe Management & Holdings LLC Multi-Specialty CurrentSince Dec 23, 2024 Accepting new patients
Simple Blessings Pediatrics & Functional Medicine, LLC Multi-Specialty CurrentSince Dec 23, 2024 Accepting new patients

Locations

106 S Beaton St
Corsicana, TX 75110
Phone (903) 602-5009

Interoperability endpoints

  • Direct secure messaging: heather.hasara.1@18805.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/18805/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1437569548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12235 LITTLE BLUE HERON LN",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041689",
            "telephone_number": "936-236-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12235 LITTLE BLUE HERON LN",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041689",
            "telephone_number": "936-236-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASARA",
        "first_name": "HEATHER",
        "middle_name": "LEE",
        "credential": "APRN, CPNP-PC,FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-29",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "TX",
            "license": "806376",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "TX",
            "license": "L-50770",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1059420",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1059420",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1059420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.