Individual provider Active NPI

Joe Heard

  • Registered Nurse
  • Monticello, AR
National Provider Identifier
1437724663
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R078540 Issued in AR
Practice address
778 Scogin Dr
Monticello, AR 71655-5729
Phone
(870) 367-2411
NPI assigned
May 20, 2021
Last updated
May 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R078540 AR Primary

Addresses

Primary practice location

778 Scogin Dr
Monticello, AR 71655-5729

Mailing address

778 Scogin Dr
Monticello, AR 71655-5729
Phone (870) 460-2411

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jheard@drewmemorial.com

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

State licenses

LicenseStateTypeSpecialty
R078540ARMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1437724663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 SCOGIN DR",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716555729",
            "telephone_number": "870-460-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 SCOGIN DR",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716555729",
            "telephone_number": "870-367-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARD",
        "first_name": "JOE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R078540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jheard@drewmemorial.com",
            "affiliation": "N",
            "address_1": "778 Scogin Dr",
            "city": "Monticello",
            "state": "AR",
            "country_code": "US",
            "postal_code": "716555729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monticello, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.