Individual provider Active NPI

Heather L Easley, PA-C

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1790721934
Registry record updated Oct 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA04013 Issued in TX
Practice address
13140 Coit Rd Ste 510
Dallas, TX 75240-5751
Phone
(214) 548-7297
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA04013 TX Primary

Addresses

Primary practice location

13140 Coit Rd Ste 510
Dallas, TX 75240-5751

Mailing address

3401 Paradise Valley Dr
Plano, TX 75025-5435
Phone (214) 886-4071

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1008OKMDPhysical Therapist
PA04013TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emcare-Dtxemergency Physicians PLLC Physician Assistant Past Accepting new patients
Texas Em-I Medical Services, P.a. Past Accepting new patients
Innovative Emergency Medicine PA Physician Assistant Past Accepting new patients
TPCH PLLC PastSince Jul 1, 2015 Accepting new patients
Healdton Municipal Hospital (SNF) Past Accepting new patients
Stephen M Treadwell Past Accepting new patients
Hebron Emergency Physicians PLLC Past Accepting new patients

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382313600000",
    "number": "1790721934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 PARADISE VALLEY DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750255435",
            "telephone_number": "214-886-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13140 COIT RD STE 510",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405751",
            "telephone_number": "214-548-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASLEY",
        "first_name": "HEATHER",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2013-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.