Individual provider Active NPI

Heather D Foxworthy, ANP-BC

  • Adult Health Nurse Practitioner
  • Carmel, IN
National Provider Identifier
1639429103
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
71004123A Issued in IN
Practice address
13450 N Meridian St
Suite 352
Carmel, IN 46032-1546
Phone
(317) 582-9300
Fax
(317) 582-9307
NPI assigned
Sep 12, 2012
Last updated
Oct 1, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 71004123A IN Primary

Addresses

Primary practice location

13450 N Meridian St
Suite 352
Carmel, IN 46032-1546

Mailing address

10330 N Meridian St
Suite 201
Indianapolis, IN 46290-1024

Other names 1

  • Heather D Burns Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130528000689 IN Practitioner - Nurse Practitioner 1153569462 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sound Physicians of Indiana LLCGroup PAC ID 4981841780, 76 clinicians

Practice addresses (Care Compare)

5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Phone (574) 335-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Indiana, LLC CurrentSince Mar 15, 2023 Accepting new patients
Sound Physicians of Indiana, LLC CurrentSince Mar 15, 2023 Accepting new patients
Pike Medical Consultants PC CurrentSince Oct 8, 2013 Accepting new patients
Urgent Care Services Inc Past Accepting new patients

Locations

762 N Dan Jones Rd
Avon, IN 46123
Phone (201) 856-0224

7911 Michigan Rd
Ste B
Indianapolis, IN 46268
Phone (317) 956-6289

7911 Michigan Rd
Indianapolis, IN 46268
Phone (317) 960-3278

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1639429103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10330 N MERIDIAN ST",
            "address_2": "SUITE 201",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13450 N MERIDIAN ST",
            "address_2": "SUITE 352",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321546",
            "telephone_number": "317-582-9300",
            "fax_number": "317-582-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOXWORTHY",
        "first_name": "HEATHER",
        "middle_name": "D",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71004123A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "BURNS",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.