Individual provider Active NPI

Heather Heady

  • Nurse Practitioner
  • Miami, OK
National Provider Identifier
1801477070
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
594422 Issued in KS
Practice address
106 NW Veterans Blvd
Miami, OK 74354-1818
Phone
(918) 238-3074
Fax
(918) 238-3076
NPI assigned
Apr 19, 2021
Last updated
May 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 594422 KS Primary

Addresses

Primary practice location

106 NW Veterans Blvd
Miami, OK 74354-1818

Mailing address

PO Box 1832
Pittsburg, KS 66762-1832
Phone (620) 240-5687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20230926001978 MO Practitioner - Nurse Practitioner 9335557859 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Hospital CarthageGroup PAC ID 8426225251, 23 clinicians

Practice addresses (Care Compare)

3114 Medical Park Dr
Carthage, MO 64836-1211
Phone (417) 359-1820

3116 Medical Park Dr
Carthage, MO 64836-1211
Phone (417) 358-7574

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
594422KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Carthage CurrentSince Sep 23, 2023 Accepting new patients
Mercy Clinic Joplin LLC CurrentSince Sep 1, 2023 Accepting new patients
Mercy Hospital Carthage CurrentSince Sep 23, 2023 Accepting new patients
Community Health Center of Southeast Kansas, Inc Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1615 Hazel Ave
Carthage, MO 64836
Phone (417) 358-0188

3116 Medical Park Dr
Carthage, MO 64836
Phone (417) 358-7574

94 Main St
Cassville, MO 65625
Phone (417) 782-7722

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

100 Mercy Way
Ste 510
Joplin, MO 64804
Phone (417) 347-4000

106 NW Veterans Blvd
Miami, OK 74354
Phone (918) 238-2410

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1801477070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1832",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667621832",
            "telephone_number": "620-240-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 NW VETERANS BLVD",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743541818",
            "telephone_number": "918-238-3074",
            "fax_number": "918-238-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEADY",
        "first_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "594422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, OK

Sources for this page

Verify at the official NPI Registry.