Individual provider Active NPI

Heather Christine Pickett, W.H. N.P.

  • Ambulatory Women's Health Care Registered Nurse
  • Stafford, VA
National Provider Identifier
1528231123
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Women's Health Care Registered NurseTaxonomy code 163WW0101X
License
51263 Issued in NE
Practice address
125 Hospital Center Blvd
Suite 221
Stafford, VA 22554-6202
Phone
(540) 720-7340
Fax
(540) 720-7341
NPI assigned
Apr 4, 2008
Last updated
Sep 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Women's Health Care Registered Nurse 163WW0101X 51263 NE Primary

Addresses

Primary practice location

125 Hospital Center Blvd
Suite 221
Stafford, VA 22554-6202

Mailing address

125 Hospital Center Blvd
Suite 221
Stafford, VA 22554-6202
Phone (540) 720-7340

Other names 1

  • Heather Christine Matol Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20150814013950 VA Practitioner - Nurse Practitioner 9436389863

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51263NEMDAmbulatory Women's Health Care Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Gynecology and Wellness LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: heather.pickett.2@21079.direct.athenahealth.com

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, 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": "1207267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1528231123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 HOSPITAL CENTER BLVD",
            "address_2": "SUITE 221",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225546202",
            "telephone_number": "540-720-7340",
            "fax_number": "540-720-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 HOSPITAL CENTER BLVD",
            "address_2": "SUITE 221",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225546202",
            "telephone_number": "540-720-7340",
            "fax_number": "540-720-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKETT",
        "first_name": "HEATHER",
        "middle_name": "CHRISTINE",
        "credential": "W.H. N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-04",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "NE",
            "license": "51263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "MATOL",
            "middle_name": "CHRISTINE",
            "credential": "W.H. N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stafford, VA

Sources for this page

Verify at the official NPI Registry.