Heather Lynne Rack, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP016474 Issued in PA

Practice address

202 Timber Ridge Rd
Pittsburgh, PA 15238-2436

Phone

(724) 580-8889

Fax

(412) 968-9182

NPI assigned

Dec 13, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Heather Colvin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1477097335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 BRINWOOD AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152273938",
            "telephone_number": "412-889-1985",
            "fax_number": "412-968-9182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 TIMBER RIDGE RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152382436",
            "telephone_number": "724-580-8889",
            "fax_number": "412-968-9182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACK",
        "first_name": "HEATHER",
        "middle_name": "LYNNE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-13",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP016474",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN589781",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "COLVIN",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jenna Nicole Raccor, PA-C
• Rachel Kramer Counseling LLC
• Andrea Racic, DMD
• Brooke Racicot
• Barton B. Rack, O.D.
• Eric Rackley, DMD
• Tara Rackley, PHARMD
• Amy Marie Raco, DPT
• Brittany Anne Raco, LCSW
• Maria Raco, MOT, OTR/L

• Nurse Practitioner in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.