Active NPI
Nancy E Pike, ARNP
- Obstetrics & Gynecology Nurse Practitioner
- Shepherdsville, KY
National Provider Identifier
1720050628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 214P
- 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, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0223504 | Other | KY | MEDICARE GROUP |
Other names 1
- Nancy Heavrin
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 214P | KY | MD | Obstetrics & 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.
-
- Public Health or Welfare Agency
- Shepherdsville, KY
- NPI 1811997661
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.