Heather A Hall, STNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

377354430598 Issued in OH

Practice address

21043 Fostoria Rd
Luckey, OH 43443-9732

Phone

(419) 559-3558

NPI assigned

Feb 11, 2021

Last updated

Feb 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1548852452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21043 FOSTORIA RD",
            "city": "LUCKEY",
            "state": "OH",
            "postal_code": "434439732",
            "telephone_number": "419-559-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21043 FOSTORIA RD",
            "city": "LUCKEY",
            "state": "OH",
            "postal_code": "434439732",
            "telephone_number": "419-559-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "HEATHER",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "STNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "377354430598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Luckey",
            "affiliation": "N",
            "endpointDescription": "luckey",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Luckey",
            "address_1": "21043 Fostoria Rd",
            "city": "Luckey",
            "state": "OH",
            "country_code": "US",
            "postal_code": "434439732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rebecca Elizabeth Haas, M.A., CCC-SLP
• Pamela Lee Hartley, LPTA
• Dolores Jones, RN
• Tami Lynn Jorgenson, RN
• Troy Township Trustees

• Nurse's Aide in Luckey, OH
• Providers in Luckey, OH by specialty
• Nurse's Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.