Active NPI
Joya Heart, MD
- Student in an Organized Health Care Education/Training Program
- Edgewood, KY
National Provider Identifier
1750453585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- FT591
- Practice address
- 483 S Loop Rd
Edgewood, KY 41017-5446 - Phone
- (859) 301-4600
- NPI assigned
- Nov 15, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G79791 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | FT591 | KY | Primary |
Addresses
Primary practice location
483 S Loop Rd
Edgewood, KY 41017-5446
Mailing address
483 S Loop Rd
Edgewood, KY 41017-5446
Phone (859) 301-4600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G797910 | Medicaid | CA |
Other names 1
- Linda Emiko Hata
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G79791 | CA | MD | Pediatrics Physician |
| FT591 | KY | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542672000000",
"number": "1750453585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "483 S LOOP RD",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "410175446",
"telephone_number": "859-301-4600",
"fax_number": "859-301-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "483 S LOOP RD",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "410175446",
"telephone_number": "859-301-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEART",
"first_name": "JOYA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2018-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G79791",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "KY",
"license": "FT591",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G797910",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LINDA",
"last_name": "HATA",
"middle_name": "EMIKO",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Edgewood, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.