Individual provider Active NPI

Nancy E Pike, ARNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Shepherdsville, KY
National Provider Identifier
1720050628
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
214P Issued in KY
Practice address
181 Lees Valley Road
Shepherdsville, KY 40165-0278
Phone
(502) 955-7837
Fax
(502) 543-2998
NPI assigned
Feb 3, 2006
Last updated
Jan 14, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 214P KY Primary

Addresses

Primary practice location

181 Lees Valley Road
Shepherdsville, KY 40165-0278

Mailing address

PO Box 278
181 Lees Valley Road
Shepherdsville, KY 40165-0278
Phone (502) 955-7837

Other identifiers 1

IdentifierTypeStateIssuer
0223504OtherKYMEDICARE GROUP

Other names 1

  • Nancy Heavrin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20040908000175 KY Practitioner - Nurse Practitioner 5991771305 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
214PKYMDObstetrics & Gynecology Nurse Practitioner

Organizations & group practices 1

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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1720050628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "address_2": "181 LEES VALLEY ROAD",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401650278",
            "telephone_number": "502-955-7837",
            "fax_number": "502-543-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 LEES VALLEY ROAD",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401650278",
            "telephone_number": "502-955-7837",
            "fax_number": "502-543-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIKE",
        "first_name": "NANCY",
        "middle_name": "E",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "KY",
            "license": "214P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "0223504",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "HEAVRIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shepherdsville, KY

Sources for this page

Verify at the official NPI Registry.