Individual provider Active NPI

Carron Audre Heyward, REGISTERED NURSE

  • Registered Nurse
  • Bronx, NY
National Provider Identifier
1821968595
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
644583 Issued in NY
Practice address
4167 E Tremont Ave # 1
Bronx, NY 10465-3348
Phone
(646) 408-4332
NPI assigned
Nov 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 644583 NY
Registered Nurse 163W00000X 644583 NY Primary

Addresses

Primary practice location

4167 E Tremont Ave # 1
Bronx, NY 10465-3348

Mailing address

4167 E Tremont Ave # 1
Bronx, NY 10465-3348
Phone (646) 408-4332

Other practice location 1

7403 Commonwealth Blvd
Bellerose, NY 11426-1839
Phone (718) 264-4500

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
644583NYMDChild & Adolescent Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1821968595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4167 E TREMONT AVE # 1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104653348",
            "telephone_number": "646-408-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4167 E TREMONT AVE # 1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104653348",
            "telephone_number": "646-408-4332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7403 Commonwealth Blvd",
            "address_purpose": "LOCATION",
            "city": "Bellerose",
            "state": "NY",
            "postal_code": "114261839",
            "country_code": "US",
            "telephone_number": "718-264-4500",
            "fax_number": "718-264-4953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEYWARD",
        "first_name": "CARRON",
        "middle_name": "AUDRE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "NY",
            "license": "644583",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "644583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; 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.