Individual provider Active NPI

Heather Rose Allen, FNP

  • Family Nurse Practitioner
  • Galt, CA
National Provider Identifier
1447769286
Registry record updated Sep 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95007533 Issued in CA
Practice address
417 C St
Galt, CA 95632-1958
Phone
(209) 745-1778
NPI assigned
Sep 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95007533 CA Primary

Addresses

Primary practice location

417 C St
Galt, CA 95632-1958

Mailing address

1151 Paddington Cir
Galt, CA 95632-3180
Phone (530) 864-4605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20171211002683 CA Practitioner - Nurse Practitioner 2961760426 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nextgen Wound Care Solutions West PCGroup PAC ID 5294213039, 2 clinicians
Generational Wellness and Nursing Services IncGroup PAC ID 4789041740, 4 clinicians

Practice addresses (Care Compare)

Mather, CA 95655
Phone (770) 876-9602

Sacramento, CA 95864
Phone (916) 398-4894

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blossom Ridge Medical, Inc. CurrentSince Sep 2, 2020 Accepting new patients
Atrium Wound Care, PLLC CurrentSince Feb 15, 2025 Accepting new patients
Nextgen Wound Care Solutions West PC CurrentSince Dec 21, 2025 Accepting new patients
Generational Wellness and Nursing Services Inc CurrentSince May 1, 2025 Accepting new patients
Anaiah Hospice Care, Inc. PastSince May 1, 2025 Accepting new patients
Atrium Surgical Assistant Services, LLC PastSince Jan 17, 2022 Accepting new patients
Mark Twain Medical Center PastSince May 22, 2020 Accepting new patients

Locations

334 D St
Davis, CA 95616
Phone (916) 398-4894

2554 Millcreek Dr
Sacramento, CA 95833
Phone (800) 991-6147

3600 American River Dr
Ste 204
Sacramento, CA 95864
Phone (916) 234-5684

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506297600000",
    "number": "1447769286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 PADDINGTON CIR",
            "city": "GALT",
            "state": "CA",
            "postal_code": "956323180",
            "telephone_number": "530-864-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 C ST",
            "city": "GALT",
            "state": "CA",
            "postal_code": "956321958",
            "telephone_number": "209-745-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "HEATHER",
        "middle_name": "ROSE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2017-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95007533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galt, CA

Sources for this page

Verify at the official NPI Registry.