Individual provider Active NPI

Tina Marie Heyward, CRNP

  • Family Nurse Practitioner
  • Laurel, MD
National Provider Identifier
1629146022
Registry record updated Sep 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R095262 Issued in MD
Practice address
14409 Greenview Dr 101a
Laurel, MD 20708-3293
Phone
(301) 725-0788
Fax
(301) 725-2779
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R095262 MD Primary

Addresses

Primary practice location

14409 Greenview Dr 101a
Laurel, MD 20708-3293

Mailing address

14409 Greenview Dr 101a
Laurel, MD 20708-3293
Phone (301) 725-0788

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R095262MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marie a Dobyns MD PA Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443225600000",
    "number": "1629146022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14409 GREENVIEW DR 101A",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083293",
            "telephone_number": "301-725-0788",
            "fax_number": "301-725-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14409 GREENVIEW DR 101A",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083293",
            "telephone_number": "301-725-0788",
            "fax_number": "301-725-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEYWARD",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2015-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R095262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2015; 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.