Individual provider Active NPI

Heather M Morden, ARNP

  • Family Nurse Practitioner
  • Davenport, IA
National Provider Identifier
1730600735
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A130266 Issued in IA
Practice address
1706 Brady St Ste 200
Davenport, IA 52803-4708
Phone
(563) 400-2801
Fax
(563) 202-5312
NPI assigned
Jun 29, 2017
Last updated
Jun 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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 A130266 IA Primary

Addresses

Primary practice location

1706 Brady St Ste 200
Davenport, IA 52803-4708

Mailing address

1706 Brady St Ste 200
Davenport, IA 52803-4708
Phone (563) 400-2801

Other identifiers 1

IdentifierTypeStateIssuer
A130266OtherIASTATE ARNP LICENSE

Other names 1

  • Heather M Nance Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20170724001240 IA Practitioner - Nurse Practitioner 8820368947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1706 Brady St
Suite 200
Davenport, IA 52803-4708
Phone (563) 400-2801

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A130266IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renewal Health Services PLLC Family CurrentSince Sep 11, 2023 Accepting new patients
Community Health Care, Inc. PastSince Jul 17, 2017 Accepting new patients

Locations

1706 Brady St
Ste 200
Davenport, IA 52803
Phone (563) 400-2801

Interoperability endpoints

  • Direct secure messaging: heather.morden.1@29358.direct.athenahealth.com

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": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1730600735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 BRADY ST STE 200",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528034708",
            "telephone_number": "563-400-2801",
            "fax_number": "563-202-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 BRADY ST STE 200",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528034708",
            "telephone_number": "563-400-2801",
            "fax_number": "563-202-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORDEN",
        "first_name": "HEATHER",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A130266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ARNP LICENSE",
            "identifier": "A130266",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "NANCE",
            "middle_name": "M",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.