Individual provider Active NPI

Heather Diane Gilroy, RN, FNP-C

  • Family Nurse Practitioner
  • Fowlerville, MI
National Provider Identifier
1902525793
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704320962 Issued in MI
Practice address
202 E Van Riper Rd
Fowlerville, MI 48836-7947
Phone
(517) 223-7300
NPI assigned
Aug 24, 2022
Last updated
May 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704320962 MI Primary

Addresses

Primary practice location

202 E Van Riper Rd
Fowlerville, MI 48836-7947

Mailing address

202 E Van Riper Rd
Fowlerville, MI 48836-7947
Phone (517) 223-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20230302001056 MI Practitioner - Nurse Practitioner 0143693788

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph Mercy Livingston Hospital PastSince May 7, 2023 Accepting new patients
Huron Valley Radiology PC PastSince May 7, 2023 Accepting new patients

Organizations & group practices 2

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": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1902525793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E VAN RIPER RD",
            "city": "FOWLERVILLE",
            "state": "MI",
            "postal_code": "488367947",
            "telephone_number": "517-223-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E VAN RIPER RD",
            "city": "FOWLERVILLE",
            "state": "MI",
            "postal_code": "488367947",
            "telephone_number": "517-223-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILROY",
        "first_name": "HEATHER",
        "middle_name": "DIANE",
        "credential": "RN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704320962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fowlerville, MI

Sources for this page

Verify at the official NPI Registry.