Heatherlee Banville, DC

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

0104557857 Issued in VA

Practice address

3709 Strawberry Plains Rd Ste a
Williamsburg, VA 23188-3424

Phone

(757) 231-5653

NPI assigned

May 31, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Heather Banville Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr Heather Banville PLLC

  • Nutrition Chiropractor
  • Williamsburg, VA
  • NPI 1447079918
  NPD

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1700525649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 ENSIGN SPENCE",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855558",
            "telephone_number": "757-231-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 STRAWBERRY PLAINS RD STE A",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231883424",
            "telephone_number": "757-231-5653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "489 McLaws Cir Ste 1",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231855864",
            "country_code": "US",
            "telephone_number": "757-231-5653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANVILLE",
        "first_name": "HEATHERLEE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "VA",
            "license": "0104557857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "BANVILLE",
            "prefix": "DR.",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Aarthi S Balasubramaniam, DMD
• Alexis Leigh Balausky
• Robert Michael Baldwin, M.D.
• Sarah Jones Baldwin, NP
• John J Ball III, MD
• Hattie M Barbour
• David Barley, O.D.
• Lauren Barnes, MD
• Hailey Marie Barns
• Tia Barr, AGNP

• Nutrition Chiropractor in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Nutrition Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.