Heather T Anderson, N.P.
Individual provider Active NPI Family Nurse Practitioner · China Grove, NC
NPI 1689874372 · NPPES record last updated Jul 20, 2007
Key facts
- NPI
- 1689874372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- Practice address
- 302 S Main St
China Grove, NC 28023-2471 - Phone
- (704) 857-8769
- Fax
- (704) 857-8779
- NPI assigned
- Jul 20, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241211004808 | SC | Order and Referring Only - Nurse Practitioner | 9032207907 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0050-03111 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Street Family Practice PC | Past |
Accepting new patients | |
| Main Street Family Practice of China Grove PC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NC | Yes |
Addresses
Primary practice location
302 S Main St
China Grove, NC 28023-2471
Mailing address
302 S Main St
China Grove, NC 28023-2471
Phone (704) 857-8769
Other providers in China Grove, NC
- Alexa Allison
- Natalie Joy Allison
- Hannah E King Barnhardt
- Kortney Ann Baucom
- Joel Thomas Bibby
- Meredith Davis Bowen
- Laretta Bowers
All providers in China Grove, NC · Family Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.