Individual provider Active NPI

Heather Baker Little, NP

  • Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1851649966
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-104349 Issued in AL
Practice address
1722 Pine St
Suite 804
Montgomery, AL 36106-1103
Phone
(334) 834-7221
Fax
(334) 241-9848
NPI assigned
Aug 21, 2012
Last updated
Apr 23, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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 1-104349 AL Primary

Addresses

Primary practice location

1722 Pine St
Suite 804
Montgomery, AL 36106-1103

Mailing address

1722 Pine St
Suite 804
Montgomery, AL 36106-1103
Phone (334) 834-7221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20131120000870 AL Practitioner - Nurse Practitioner 1557597655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Infusions LLCGroup PAC ID 6608054044, 102 clinicians

Practice addresses (Care Compare)

3255 Malcom Dr
Suite 3255
Montgomery, AL 36116-8816
Phone (334) 310-9942

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-104349ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Infusions, LLC Nurse Practitioner CurrentSince Nov 3, 2022 Accepting new patients
Greater Montgomery Patient Centered Gastroenterology and Hepatology CurrentSince Mar 1, 2021 Accepting new patients
Innovative Infusions, LLC Nurse Practitioner CurrentSince Nov 3, 2022 Accepting new patients
Innovative Infusions, LLC Nurse Practitioner Past Accepting new patients
Innovative Infusions, LLC Nurse Practitioner Past Accepting new patients

Locations

900 Bob Wallace Ave SW
Ste 122
Huntsville, AL 35801
Phone (256) 666-9520

1725 Park Pl
Montgomery, AL 36106
Phone (334) 293-8484

1898 Mulberry St
Montgomery, AL 36106
Phone (334) 239-7059

3255 Malcolm Dr
Ste 3255
Montgomery, AL 36116
Phone (334) 310-9942

4851 Cahaba River Rd
Ste 137
Vestavia, AL 35243
Phone (205) 963-7523

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": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366675200000",
    "number": "1851649966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 PINE ST",
            "address_2": "SUITE 804",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061103",
            "telephone_number": "334-834-7221",
            "fax_number": "334-241-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 PINE ST",
            "address_2": "SUITE 804",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061103",
            "telephone_number": "334-834-7221",
            "fax_number": "334-241-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "HEATHER",
        "middle_name": "BAKER",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-21",
        "last_updated": "2013-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-104349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.