Individual provider Active NPI

Lannie Adelman Heaney, R.N.,PHN

  • Administrator Registered Nurse
  • San Francisco, CA
National Provider Identifier
1467646331
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
192732 Issued in CA
Practice address
1525 Silver Ave
San Francisco, CA 94134-1229
Phone
(415) 657-1747
Fax
(415) 657-1752
NPI assigned
Sep 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 192732 CA Primary

Addresses

Primary practice location

1525 Silver Ave
San Francisco, CA 94134-1229

Mailing address

1525 Silver Ave
San Francisco, CA 94134-1229
Phone (415) 657-1747

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
192732CAMDAdministrator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188864000000",
    "number": "1467646331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 SILVER AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941341229",
            "telephone_number": "415-657-1747",
            "fax_number": "415-657-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 SILVER AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941341229",
            "telephone_number": "415-657-1747",
            "fax_number": "415-657-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEANEY",
        "first_name": "LANNIE",
        "middle_name": "ADELMAN",
        "name_prefix": "Ms.",
        "credential": "R.N.,PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "CA",
            "license": "192732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.