Active NPI
Nicole Dyan Heaton
- Registered Nurse
- Warrensburg, MO
National Provider Identifier
1689579427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 2013024293
- Practice address
- 156 NW 361St Rd
Warrensburg, MO 64093-7611 - Phone
- (660) 864-6707
- NPI assigned
- Oct 12, 2026
- Last updated
- Oct 12, 2026
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2013024293 | MO | Primary |
Addresses
Primary practice location
156 NW 361St Rd
Warrensburg, MO 64093-7611
Mailing address
156 NW 361St Rd
Warrensburg, MO 64093-7611
Phone (660) 864-6707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791763200000",
"number": "1689579427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 NW 361ST RD",
"city": "WARRENSBURG",
"state": "MO",
"postal_code": "640937611",
"telephone_number": "660-864-6707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "156 NW 361ST RD",
"city": "WARRENSBURG",
"state": "MO",
"postal_code": "640937611",
"telephone_number": "660-864-6707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEATON",
"first_name": "NICOLE",
"middle_name": "DYAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-10-12",
"last_updated": "2026-10-12",
"certification_date": "2026-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2013024293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warrensburg, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.