Heather Agans, LPN
Individual provider Active NPI Licensed Practical Nurse · Beardstown, IL
NPI 1487790325 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487790325
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- Practice address
- 415 Clendenin St
Beardstown, IL 62618-1034 - Phone
- (217) 323-3230
- Fax
- (217) 323-3731
- NPI assigned
- Jan 29, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043071775 | IL | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkview Housing Corporation | Past | Accepting new patients | |
| Cass County Mental Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | IL | Yes |
Addresses
Primary practice location
415 Clendenin St
Beardstown, IL 62618-1034
Mailing address
121 E 2ND St
Beardstown, IL 62618-1263
Phone (217) 323-3230
Other providers in Beardstown, IL
- Garrick M Adams
- Apex Physical Therapy, LLC
- Briana M. Arenz
- Kiara Olivia Barnes
- Crystal Elizabeth Bartlett
- Cheryl Bauser
All providers in Beardstown, IL · Licensed Practical Nurse in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.