Individual provider Active NPI

Lauren Heckenlaible

  • Family Nurse Practitioner
  • Franklin, VA
National Provider Identifier
1902688708
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024188469 Issued in VA
Practice address
1337 Armory Dr
Franklin, VA 23851-2419
Phone
(757) 659-9903
NPI assigned
Oct 17, 2023
Last updated
Oct 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024188469 VA Primary
Adult Medicine Physician 207QA0505X 0024188469 VA

Addresses

Primary practice location

1337 Armory Dr
Franklin, VA 23851-2419

Mailing address

1337 Armory Dr
Franklin, VA 23851-2419
Phone (757) 659-9903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240319003259 VA Practitioner - Nurse Practitioner 6103263777 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024188469VAMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southside Diabetes CurrentSince Dec 6, 2023 Accepting new patients

Locations

1337 Armory Dr
Franklin, VA 23851
Phone (757) 659-9903

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27257/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1902688708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 ARMORY DR",
            "city": "FRANKLIN",
            "state": "VA",
            "postal_code": "238512419",
            "telephone_number": "757-659-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 ARMORY DR",
            "city": "FRANKLIN",
            "state": "VA",
            "postal_code": "238512419",
            "telephone_number": "757-659-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECKENLAIBLE",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024188469",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "VA",
            "license": "0024188469",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, VA

Sources for this page

Verify at the official NPI Registry.