Individual provider Active NPI

Heather Leann Hayden, APRN

  • Family Nurse Practitioner
  • Girard, KS
National Provider Identifier
1467961466
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
79430 Issued in KS
Practice address
302 N Hospital Dr
Girard, KS 66743-2000
Phone
(620) 231-9873
NPI assigned
Sep 22, 2017
Last updated
Jan 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2017034293 MO
Family Nurse Practitioner 363LF0000X 79430 KS Primary

Addresses

Primary practice location

302 N Hospital Dr
Girard, KS 66743-2000

Mailing address

302 N Hospital Dr
Girard, KS 66743-2000
Phone (620) 724-8297

Other names 1

  • Heather Leann Mooneyham Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS, OK3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20171010002931 MO Practitioner - Nurse Practitioner 4183999519 Reassigns benefits to 1 organization
I20200616000663 KS Practitioner - Nurse Practitioner 4183999519 Reassigns benefits to 2 organizations
I20240401000028 OK Practitioner - Nurse Practitioner 4183999519

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
79430KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Carthage Current Accepting new patients
Hospital District No 1 Crawford County CurrentSince Oct 1, 2024 Accepting new patients
Hospital District No 1 Crawford County Nurse Practitioner CurrentSince Oct 1, 2024 Accepting new patients
Community Health Center of Southeast Kansas Inc CurrentSince Jun 3, 2020 Accepting new patients

Locations

419 E Washington St
Arma, KS 66712
Phone (620) 347-4711

120 NW 400 Hwy
Cherokee, KS 66724
Phone (620) 457-8101

109 S Main St
Fort Scott, KS 66701
Phone (620) 223-7008

1624 S National Ave
Fort Scott, KS 66701
Phone (620) 223-5000

302 N Hospital Dr
Girard, KS 66743
Phone (620) 724-8291

307 N Hospital Dr
Ste 5
Girard, KS 66743
Phone (620) 724-4659

1011 S Mount Carmel Pl
Pittsburg, KS 66762
Phone (620) 231-6160

3011 N Michigan St
Pittsburg, KS 66762
Phone (620) 231-1960

924 N Broadway St
Pittsburg, KS 66762
Phone (620) 231-6788

401 5th St
Uniontown, KS 66779
Phone (620) 724-8291

3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121

Organizations & group practices 4

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": "1506038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1467961466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 N HOSPITAL DR",
            "city": "GIRARD",
            "state": "KS",
            "postal_code": "667432000",
            "telephone_number": "620-724-8297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N HOSPITAL DR",
            "city": "GIRARD",
            "state": "KS",
            "postal_code": "667432000",
            "telephone_number": "620-231-9873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDEN",
        "first_name": "HEATHER",
        "middle_name": "LEANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-22",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2017034293",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "79430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "MOONEYHAM",
            "middle_name": "LEANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Girard, KS

Sources for this page

Verify at the official NPI Registry.