Individual provider Active NPI

Shashanna Heard, NP

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1669967543
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209018349 Issued in IL
Practice address
1301 E 71St PL Apt 1N
Chicago, IL 60619-1440
Phone
(708) 368-2097
NPI assigned
Jun 25, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 041388561 IL
Family Nurse Practitioner 363LF0000X 209018349 IL Primary

Addresses

Primary practice location

1301 E 71St PL Apt 1N
Chicago, IL 60619-1440

Mailing address

1301 E 71St PL Apt 1N
Chicago, IL 60619-1440
Phone (708) 368-2097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20190211000296 IL Practitioner - Nurse Practitioner 5698013084 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiac Vision LLCGroup PAC ID 6800192519, 12 clinicians
CMC Healthcare LLCGroup PAC ID 4688039209, 133 clinicians
Southside Primary Care Group SCGroup PAC ID 4587952650, 9 clinicians

Practice addresses (Care Compare)

18 W 140 Butterfield Rd
15TH Floor
Oakbrook Terrace, IL 60181-4810
Phone (773) 276-2655

18200 S Cicero Ave
Country Club Hills, IL 60478-2911
Phone (708) 798-2272

7531 S Stony Island Ave
Chicago, IL 60649-3954
Phone (773) 947-2831

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041388561ILMDMedical-Surgical Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hansa Medical Groupe PLLC CurrentSince Mar 1, 2024 Accepting new patients
Cardiac Vision LLC CurrentSince Apr 24, 2025 Accepting new patients
Vitae Health Medical Illinois, PLLC CurrentSince Oct 1, 2020 Accepting new patients
Southside Primary Care Group SC CurrentSince Oct 1, 2025 Accepting new patients
Hyong Kim MD Service Corporation CurrentSince Jan 1, 2025 Accepting new patients
Rajiv Kandala M D S C CurrentSince Oct 1, 2025 Accepting new patients
Post Acute Medical PLLC CurrentSince Nov 26, 2023 Accepting new patients
CMC Healthcare LLC CurrentSince Jan 3, 2026 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

206 N Randolph St
Ste 2
Champaign, IL 61820
Phone (540) 892-0910

7531 S Stony Island Ave
#164
Chicago, IL 60649
Phone (773) 947-2831

7531 S Stony Island Ave
Chicago, IL 60649
Phone (773) 947-7310

2451 W Touhy Ave
Chicago, IL 60645
Phone (312) 593-5599

2732 N Hampden Ct
Chicago, IL 60614
Phone (773) 248-6000

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

490 W 16th Pl
Chicago Hts, IL 60411
Phone (708) 481-4444

3354 Jerome Ln
East Saint Louis, IL 62206
Phone (618) 337-9400

2201 Main St
Evanston, IL 60202
Phone (847) 905-3000

1101 E State St
Geneva, IL 60134
Phone (630) 208-1876

578 Commercial St
Marseilles, IL 61341
Phone (815) 795-5121

3249 147th St
Midlothian, IL 60445
Phone (708) 389-3141

555 W Carpenter St
Springfield, IL 62702
Phone (217) 525-1880

18300 Lavergne Ave
Frnt
Tinley Park, IL 60478
Phone (708) 798-2272

393 E Edwardsville Rd
Wood River, IL 62095
Phone (618) 259-4111

Organizations & group practices 8

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": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1669967543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E 71ST PL APT 1N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606191440",
            "telephone_number": "708-368-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E 71ST PL APT 1N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606191440",
            "telephone_number": "708-368-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARD",
        "first_name": "SHASHANNA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "IL",
            "license": "041388561",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209018349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.