Individual provider Active NPI

Heather Ann Lundquest, RN

  • School Registered Nurse
  • Apache Junction, AZ
National Provider Identifier
1619197969
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
RN119969 Issued in AZ
Practice address
1755 N Idaho Rd
Apache Junction, AZ 85219-1716
Phone
(480) 677-7502
Fax
(480) 982-1012
NPI assigned
Apr 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN119969 AZ Primary

Addresses

Primary practice location

1755 N Idaho Rd
Apache Junction, AZ 85219-1716

Mailing address

6176 S Mesa Vista Dr
Gold Canyon, AZ 85218-4742
Phone (480) 677-7502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN119969AZMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619197969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6176 S MESA VISTA DR",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "852184742",
            "telephone_number": "480-677-7502",
            "fax_number": "480-982-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 N IDAHO RD",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "852191716",
            "telephone_number": "480-677-7502",
            "fax_number": "480-982-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDQUEST",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN119969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apache Junction, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.