Active NPI
Heidi Katherine Iratcabal
- Religious Nonmedical Practitioner
- Dallas, TX
National Provider Identifier
1902407158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Religious Nonmedical Practitioner
- License
- L511-2848
- Practice address
- 6484 Lontos Dr
Dallas, TX 75214-6317 - Phone
- (214) 356-4157
- NPI assigned
- Nov 4, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Religious Nonmedical Practitioner | 374K00000X | L511-2848 | TX | Primary |
Addresses
Primary practice location
6484 Lontos Dr
Dallas, TX 75214-6317
Mailing address
6484 Lontos Dr
Dallas, TX 75214-6317
Phone (214) 356-4157
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
| License | State | Type | Specialty |
|---|---|---|---|
| L511-2848 | TX | MD | Religious Nonmedical Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1902407158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6484 LONTOS DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752146317",
"telephone_number": "214-356-4157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6484 LONTOS DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752146317",
"telephone_number": "214-356-4157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRATCABAL",
"first_name": "HEIDI",
"middle_name": "KATHERINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-04",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "374K00000X",
"taxonomy_group": "",
"desc": "Religious Nonmedical Practitioner",
"state": "TX",
"license": "L511-2848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.