Individual provider Active NPI

Heather Barker Peters, NP

  • Family Nurse Practitioner
  • West Jefferson, NC
National Provider Identifier
1700184348
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5005072 Issued in NC
Practice address
17 East Buck Mountain Road
West Jefferson, NC 28694
Phone
(336) 646-7442
Fax
(336) 844-2108
NPI assigned
Mar 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5005072 NC Primary

Addresses

Primary practice location

17 East Buck Mountain Road
West Jefferson, NC 28694

Mailing address

PO Box 924
West Jefferson, NC 28694-0924
Phone (336) 646-7442

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address manager@elevationhealthpc.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20110330000408 NC Practitioner - Nurse Practitioner 8729261664

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5005072NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ashe Financial Services, LLC CurrentSince Mar 6, 2016 Accepting new patients
Ashe Financial Services, LLC CurrentSince Mar 6, 2016 Accepting new patients

Locations

200 Hospital Ave
Ste 3
Jefferson, NC 28640
Phone (336) 846-7101

200 Hospital Ave
Jefferson, NC 28640
Phone (336) 246-7101

420 E 2nd St
West Jefferson, NC 28694
Phone (336) 246-8888

Organizations & group practices 2

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": "1299456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1700184348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 924",
            "city": "WEST JEFFERSON",
            "state": "NC",
            "postal_code": "286940924",
            "telephone_number": "336-646-7442",
            "fax_number": "336-844-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 EAST BUCK MOUNTAIN ROAD",
            "city": "WEST JEFFERSON",
            "state": "NC",
            "postal_code": "28694",
            "telephone_number": "336-646-7442",
            "fax_number": "336-844-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "HEATHER",
        "middle_name": "BARKER",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-07",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5005072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "manager@elevationhealthpc.com",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Unknown",
            "address_1": "17 East Buck Mountain Road",
            "city": "West Jefferson",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Jefferson, NC

Sources for this page

Verify at the official NPI Registry.