Individual provider Active NPI

Heather A Conn, RN/ACNP

  • Nurse Practitioner
  • Pleasanton, TX
National Provider Identifier
1902248495
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
679163 Issued in TX
Practice address
1540 W Goodwin St
Pleasanton, TX 78064-3804
Phone
(830) 569-4003
NPI assigned
Jul 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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 679163 TX Primary

Addresses

Primary practice location

1540 W Goodwin St
Pleasanton, TX 78064-3804

Mailing address

1540 W Goodwin St
Pleasanton, TX 78064-3804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20131002000237 TX Practitioner - Nurse Practitioner 1153555313 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
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

3903 Wiseman Blvd
San Antonio, TX 78251-4402
Phone (210) 681-0126

Hospital & facility affiliations

  • Methodist Hospital Atascosa Hospital, Jourdanton, TX, CCN 450165
  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Oct 1, 2015 Accepting new patients
BHS Physicians Network, Inc CurrentSince Oct 1, 2015 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

1808 E State Highway 97
Ste B
Jourdanton, TX 78026
Phone (830) 569-1104

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1902248495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 W GOODWIN ST",
            "city": "PLEASANTON",
            "state": "TX",
            "postal_code": "780643804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 W GOODWIN ST",
            "city": "PLEASANTON",
            "state": "TX",
            "postal_code": "780643804",
            "telephone_number": "830-569-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONN",
        "first_name": "HEATHER",
        "middle_name": "A",
        "credential": "RN/ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-24",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "679163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, TX

Sources for this page

Verify at the official NPI Registry.