Active NPI
Heather Terrice Fravel, CNP
- Acute Care Nurse Practitioner
- Canton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- APRN.CNP.0034081
- Practice address
- 1320 Mercy Dr NW
Canton, OH 44708-2614 - Phone
- (330) 489-1000
- NPI assigned
- May 2, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | RN.350456 | OH | |
| Acute Care Nurse Practitioner | 363LA2100X | APRN.CNP.0034081 | OH | Primary |
Addresses
Primary practice location
1320 Mercy Dr NW
Canton, OH 44708-2614
Mailing address
3057 Cloverhurst St NE
Canton, OH 44721-2783
Phone (330) 933-7340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609565035 | Medicaid | OH |
Other names 1
- Heather Terrice Bowditch
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231010002898 | OH | Practitioner - Nurse Practitioner | 6103271234 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cleveland Clinic Mercy Hospital
Practice addresses (Care Compare)
1320 Mercy Dr NW
Mercy Medical Ctr PR
Canton, OH 44708-2641
Phone (330) 489-1400
Hospital & facility affiliations
- Mercy Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.350456 | OH | MD | Critical Care Medicine Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cleveland Clinic Mercy Hospital | Current | Accepting new patients |
Locations
1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000
1330 Mercy Dr NW
Ste 200
Canton, OH 44708
Phone (330) 489-1000
Organizations & group practices 3
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.
-
- Prosthetic/Orthotic Supplier
- Canton, OH
- NPI 1225231103
-
- Rehabilitation Hospital Unit
- Canton, OH
- NPI 1487605978
Hospital & facility affiliations 1
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": "1682985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693440000000",
"number": "1609565035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3057 CLOVERHURST ST NE",
"city": "CANTON",
"state": "OH",
"postal_code": "447212783",
"telephone_number": "330-933-7340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 MERCY DR NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447082614",
"telephone_number": "330-489-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAVEL",
"first_name": "HEATHER",
"middle_name": "TERRICE",
"name_prefix": "Ms.",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-02",
"last_updated": "2023-08-31",
"certification_date": "2023-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "OH",
"license": "RN.350456",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OH",
"license": "APRN.CNP.0034081",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1609565035",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "BOWDITCH",
"middle_name": "TERRICE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.