Individual provider Active NPI

Natalie Heine, BC-NP

  • Nurse Practitioner
  • Mount Vernon, NY
National Provider Identifier
1508445552
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F347426-01 Issued in NY
Practice address
128 W Kingsbridge Rd
Mount Vernon, NY 10550-4817
Phone
(917) 870-7470
NPI assigned
Apr 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X F347426-01 NY
Nurse Practitioner 363L00000X F347426-01 NY Primary

Addresses

Primary practice location

128 W Kingsbridge Rd
Mount Vernon, NY 10550-4817

Mailing address

128 W Kingsbridge Rd
Mount Vernon, NY 10550-4817
Phone (917) 870-7470

Other practice location 1

128 W Kingsbridge Rd
Mount Vernon, NY 10550-4817
Phone (917) 870-7470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250319001428 NY Order and Referring Only - Nurse Practitioner 9739601790

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 Winhaven St
Roxboro, NC 27573-5442

5414 74 St
Suite 2207
Elmhurst, NY 11373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F347426-01NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Family Health NP PC Single Specialty CurrentSince Aug 25, 2025 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": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1508445552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 W KINGSBRIDGE RD",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105504817",
            "telephone_number": "917-870-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 W KINGSBRIDGE RD",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105504817",
            "telephone_number": "917-870-7470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "128 W Kingsbridge Rd",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "NY",
            "postal_code": "105504817",
            "country_code": "US",
            "telephone_number": "917-870-7470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEINE",
        "first_name": "NATALIE",
        "credential": "BC-NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F347426-01",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F347426-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

Verify at the official NPI Registry.