Active NPI
Heather Nicole Soper, CNM
- Obstetrics & Gynecology Nurse Practitioner
- Staunton, VA
National Provider Identifier
1770776619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 0024173624
- Practice address
- 905 Baylor St
Staunton, VA 24401-2075 - Phone
- (540) 569-6745
- Fax
- (540) 900-2414
- NPI assigned
- Aug 23, 2007
- Last updated
- Sep 9, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 0024173624 | VA | Primary |
| Midwife | 176B00000X | F0016991 | NY | |
| Midwife | 176B00000X | 0024173624 | VA |
Addresses
Primary practice location
905 Baylor St
Staunton, VA 24401-2075
Mailing address
905 Baylor St
Staunton, VA 24401-2075
Phone (540) 569-6745
Other names 1
- Heather Buck
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
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F0016991 | NY | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Genesis Resort for Birth, LLC | Midwife | Current | Accepting new patients |
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.
-
- VA Clinic/Center
- Waynesboro, VA
- NPI 1225893324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1770776619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 BAYLOR ST",
"city": "STAUNTON",
"state": "VA",
"postal_code": "244012075",
"telephone_number": "540-569-6745",
"fax_number": "540-900-2414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 BAYLOR ST",
"city": "STAUNTON",
"state": "VA",
"postal_code": "244012075",
"telephone_number": "540-569-6745",
"fax_number": "540-900-2414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOPER",
"first_name": "HEATHER",
"middle_name": "NICOLE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-23",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "VA",
"license": "0024173624",
"primary": true
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "NY",
"license": "F0016991",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "VA",
"license": "0024173624",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "BUCK",
"credential": "CNM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Staunton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.