Heidi McDonough, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024174262 Issued in VA

Practice address

8400 N Run Medical Dr Ste 200
Mechanicsville, VA 23116-2319

Phone

(804) 559-6980

Fax

(804) 559-6982

NPI assigned

Nov 21, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1891238044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71122",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282721122",
            "telephone_number": "804-559-6980",
            "fax_number": "804-559-6982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 N RUN MEDICAL DR STE 200",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162319",
            "telephone_number": "804-559-6980",
            "fax_number": "804-559-6982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "HEIDI",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-21",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis D McCoy
• Kathleen J McCune, PH.D.
• Chantal McDaniel, OTR/L
• Valerie McDonnell
• Conan M McDonough, M.D.
• Terri McDowell, LOT
• Billie Deronda McElwrath, D.C.
• Neil Kennedy McGroarty, MD
• Dana McGuirt, LPT
• Kathleen McKenzie

• Family Nurse Practitioner in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.