Individual provider Active NPI

Heather Parkerson, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Evanston, IL
National Provider Identifier
1467901025
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209.023104 Issued in IL
Practice address
1609 Sherman Ave
Evanston, IL 60201-3753
Phone
(312) 380-2790
Fax
(312) 380-2791
NPI assigned
Sep 23, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 209.023104 IL Primary
Family Nurse Practitioner 363LF0000X 71006818B IN
Family Nurse Practitioner 363LF0000X 71006818A IN
Registered Nurse 163W00000X 28184494A IN

Addresses

Primary practice location

1609 Sherman Ave
Evanston, IL 60201-3753

Mailing address

1609 Sherman Ave
Evanston, IL 60201-3753
Phone (312) 380-2790

Other practice location 1

265 Poplar Ln
Hobart, IN 46342-3500
Phone (219) 455-0648

Other practice location 2

901 MacArthur Blvd
Munster, IN 46321-2901
Phone (219) 836-4512

Other identifiers 2

IdentifierTypeStateIssuer
300003339MedicaidIN
363L00000XMedicaidIN

Other names 1

  • Heather Parkerson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 20, 2023 through Apr 20, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28184494AINMDRegistered Nurse
71006818AINMDFamily Nurse Practitioner
71006818BINMDFamily Nurse Practitioner
209.023104ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aims-Med, LLC Multi-Specialty PastSince Sep 17, 2023 Accepting new patients

Organizations & group practices 1

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": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1467901025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 SHERMAN AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013753",
            "telephone_number": "312-380-2790",
            "fax_number": "312-380-2791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 SHERMAN AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013753",
            "telephone_number": "312-380-2790",
            "fax_number": "312-380-2791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "265 Poplar Ln",
            "address_purpose": "LOCATION",
            "city": "Hobart",
            "state": "IN",
            "postal_code": "463423500",
            "country_code": "US",
            "telephone_number": "219-455-0648",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 MacArthur Blvd",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463212901",
            "country_code": "US",
            "telephone_number": "219-836-4512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKERSON",
        "first_name": "HEATHER",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-23",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.023104",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71006818B",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71006818A",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28184494A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300003339",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363L00000X",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "PARKERSON",
            "credential": "FNP-C,PMHNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.