Active NPI
Joann A. Heron, PA-C
- Physician Assistant
- Rutherfordton, NC
National Provider Identifier
1639218100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 102134
- Practice address
- 444 NC Hwy 108
Rutherfordton, NC 28139-7871 - Phone
- (828) 286-2302
- Fax
- (828) 287-4320
- NPI assigned
- Feb 5, 2007
- Last updated
- Aug 14, 2014
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 102134 | NC | Primary |
| Physician Assistant | 363A00000X | 642 | NC | |
| Medical Physician Assistant | 363AM0700X | 3205 | AZ | |
| Medical Physician Assistant | 363AM0700X | 16313 | CA |
Addresses
Primary practice location
444 NC Hwy 108
Rutherfordton, NC 28139-7871
Mailing address
PO Box 2168
Spartanburg, SC 29304-2168
Phone (864) 560-4304
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01330103 | Other | SC | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3205 | AZ | MD | Clinical Psychologist |
| 102134 | NC | MD | Physician Assistant |
| 642 | NC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407974400000",
"number": "1639218100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2168",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293042168",
"telephone_number": "864-560-4304",
"fax_number": "864-560-4413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 NC HWY 108",
"city": "RUTHERFORDTON",
"state": "NC",
"postal_code": "281397871",
"telephone_number": "828-286-2302",
"fax_number": "828-287-4320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERON",
"first_name": "JOANN",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2014-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "102134",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "642",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": "3205",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "16313",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01330103",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rutherfordton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.