Individual provider Active NPI

Heather Lea Hill, ANP

  • Adult Health Nurse Practitioner
  • Laguna Beach, CA
National Provider Identifier
1578984167
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
NP95022865 Issued in CA
Practice address
333 Thalia St
Laguna Beach, CA 92651-2713
Phone
(949) 499-0577
NPI assigned
Dec 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NP95022865 CA Primary

Addresses

Primary practice location

333 Thalia St
Laguna Beach, CA 92651-2713

Mailing address

333 Thalia St
Laguna Beach, CA 92651-2713
Phone (949) 499-0577

Other identifiers 2

IdentifierTypeStateIssuer
NCH006C115OtherNCMEDICARE PTAN
1578984167MedicaidNC

Other names 1

  • Heather Lea Hillebrenner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140331000214 NC Practitioner - Nurse Practitioner 6406087766 Reassigns benefits to 2 organizations
I20200419000236 CA Practitioner - Nurse Practitioner 6406087766

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1625 Tahiti Ave
Laguna Beach, CA 92651-1948

2592 N Santiago Blvd
Orange, CA 92867-1862

7755 Ctr Ave
Huntington Beach, CA 92647-3007

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95022865CAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed Specialists Group, LLC CurrentSince Apr 12, 2021 Accepting new patients
J M Geiss DO Apc CurrentSince May 20, 2024 Accepting new patients
Wake Family Medicine PC CurrentSince Jun 23, 2014 Accepting new patients
Wakemed Specialists Group, LLC Current Accepting new patients
Wakemed Specialists Group LLC CurrentSince Apr 12, 2021 Accepting new patients
California PHS PC Nurse Practitioner CurrentSince May 20, 2024 Accepting new patients

Locations

1420 E Palomar St
Chula Vista, CA 91913

1900 Coffee Rd
Modesto, CA 95355
Phone (209) 491-0904

520 Superior Ave
Ste 255
Newport Beach, CA 92663
Phone (949) 720-9266

2592 N Santiago Blvd
Orange, CA 92867
Phone (714) 577-2271

5 Hutton Centre Dr
Ste 950
Santa Ana, CA 92707
Phone (855) 434-7663

28650 Newhall Ranch Rd
Santa Clarita, CA 91355
Phone (661) 347-0051

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

1831 Lake Pine Dr
Ste 200
Cary, NC 27511
Phone (919) 233-3435

8024 Glenwood Ave
Ste 305
Raleigh, NC 27612
Phone (772) 265-4956

101 Donald Ross Dr
Raleigh, NC 27610
Phone (919) 250-3320

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

3024 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-5318

Interoperability endpoints

  • Direct secure messaging: hhillebrenner@landmarkhealth-direct.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/AFFIBD
  • FHIR API: https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/14693/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1388016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1578984167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 THALIA ST",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512713",
            "telephone_number": "949-499-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 THALIA ST",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512713",
            "telephone_number": "949-499-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "HEATHER",
        "middle_name": "LEA",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-26",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "NP95022865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NCH006C115",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578984167",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "HILLEBRENNER",
            "middle_name": "LEA",
            "credential": "ANP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Laguna Beach, CA

Sources for this page

Verify at the official NPI Registry.