Active NPI
Heather Sallie
- Contractor
- Elizabethtown, KY
National Provider Identifier
1629294632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 626 Harvard Dr
Elizabethtown, KY 42701-3122 - Phone
- (606) 776-7347
- Fax
- (866) 236-1503
- NPI assigned
- Apr 18, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | NU | Primary |
Addresses
Primary practice location
626 Harvard Dr
Elizabethtown, KY 42701-3122
Mailing address
626 Harvard Dr
Elizabethtown, KY 42701-3122
Phone (606) 776-7347
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629294632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "626 HARVARD DR",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427013122",
"telephone_number": "606-776-7347",
"fax_number": "866-236-1503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "626 HARVARD DR",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427013122",
"telephone_number": "606-776-7347",
"fax_number": "866-236-1503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALLIE",
"first_name": "HEATHER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elizabethtown, KY
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.