Samantha Mindy Heard, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN048381 Issued in GA

Practice address

11 Oakridge Drive
Carrollton, GA 30116

Phone

(678) 855-4410

NPI assigned

Dec 12, 2007

Last updated

Dec 12, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1649453622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1523",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "30112",
            "telephone_number": "678-855-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 OAKRIDGE DRIVE",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "30116",
            "telephone_number": "678-855-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARD",
        "first_name": "SAMANTHA",
        "middle_name": "MINDY",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "GA",
            "license": "LPN048381",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "GA",
            "license": "LPN048381",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN048381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David C Head
• Phyllis Head
• Healing Heartz at Home LLC
• Healing Heartz Daily LLC
• Healthliant Enterprises Inc
• Lee Heath, P.T.
• Thomas Gregory Heath, NP
• Maria Luisa Heck, FNP
• Eric Heine, M.D.
• Helping Hands That Understand Agency, Inc

• Licensed Practical Nurse in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.