Individual provider Active NPI

Heather Nicole Boivin, ARNP

  • Pediatric Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1851626634
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
4044609 Issued in KY
Practice address
411 E Chestnut St
Louisville, KY 40202-1713
Phone
(502) 588-0861
Fax
(502) 588-0861
NPI assigned
Oct 12, 2009
Last updated
Oct 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 4044609 KY Primary
Pediatric Nurse Practitioner 363LP0200X 71003073A IN

Addresses

Primary practice location

411 E Chestnut St
Louisville, KY 40202-1713

Mailing address

PO Box 776879
Chicago, IL 60677-6879
Phone (502) 588-9490

Other practice location 1

1701 Spring St
Suite A
Jeffersonville, IN 47130-2930
Phone (812) 282-1367

Other practice location 2

1850 State St
New Albany, IN 47150-4990
Phone (812) 944-7701

Other identifiers 1

IdentifierTypeStateIssuer
200956690MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20251105002662 KY Practitioner - Nurse Practitioner 1052765419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1951 Bishop LN
FL 4
Louisville, KY 40218-1923

PO Box
Suite 776879
Chicago, IL 60677-6879

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71003073AINMDPediatric Nurse Practitioner
4044609KYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children's Medical Group, LLC Pediatrics CurrentSince Nov 1, 2025 Accepting new patients
Norton Children's Medical Group, LLC Pediatrics Current Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Nov 1, 2025 Accepting new patients
Norton Childrens Medical Group, LLC Pediatrics Past Accepting new patients
Southern Indiana Pediatrics P.S.C. Past Accepting new patients

Locations

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

318 W Washington St
Glasgow, KY 42141
Phone (270) 651-8321

411 E Chestnut St
Louisville, KY 40202
Phone (502) 588-2330

411 E Chestnut St
#2
Louisville, KY 40202

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

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.

NPI Registry JSON

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

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1851626634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776879",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776879",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E CHESTNUT ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021713",
            "telephone_number": "502-588-0861",
            "fax_number": "502-588-0861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Spring St",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471302930",
            "country_code": "US",
            "telephone_number": "812-282-1367",
            "fax_number": "812-284-8377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1850 State St",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471504990",
            "country_code": "US",
            "telephone_number": "812-944-7701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOIVIN",
        "first_name": "HEATHER",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-12",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KY",
            "license": "4044609",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IN",
            "license": "71003073A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200956690",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.