Heather Hissom, WHNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

104411348 Issued in OH

Practice address

16761 Saint Clair Ave Ste 2
East Liverpool, OH 43920-9400

Phone

(330) 385-9670

Fax

(330) 385-9672

NPI assigned

Feb 20, 2018

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

River Valley Physicians LLC 56 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• East Liverpool City Hospital Hospital, East Liverpool, OH, CCN 360096

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: heather.hissom@rvp.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/FBJFBA

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.

• River Valley Physicians, LLC

  • Multi-Specialty Clinic/Center
  • East Liverpool, OH
  • NPI 1891756870

  OH

  Medicare reassignment Care Compare group NPD
• Constantine G Economus MD LLC

  • Obstetrics & Gynecology Physician
  • Youngstown, OH
  • NPI 1366637217

  OH

  Medicare reassignment NPD
• City Hospital Association

  • Rural Health Clinic/Center
  • Wellsville, OH
  • NPI 1447946215
  NPD (past)
• Change, Incorporated

  • Federally Qualified Health Center (FQHC)
  • Weirton, WV
  • NPI 1245244367
  NPD (past)
• Openloop Healthcare Partners PC

  • General Practice Physician
  • Des Moines, IA
  • NPI 1245820661
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The City Hospital Association

  • General Acute Care Hospital
  • East Liverpool, OH
  • NPI 1659375673

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1912407487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 645409",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152645252",
            "telephone_number": "330-386-6442",
            "fax_number": "330-386-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16761 SAINT CLAIR AVE STE 2",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209400",
            "telephone_number": "330-385-9670",
            "fax_number": "330-385-9672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 W 6th St",
            "address_purpose": "LOCATION",
            "city": "East Liverpool",
            "state": "OH",
            "postal_code": "439202818",
            "country_code": "US",
            "telephone_number": "330-932-3271",
            "fax_number": "330-386-6191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HISSOM",
        "first_name": "HEATHER",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "104411348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heather.hissom@rvp.eclinicaldirectplus.com",
            "affiliation": "Y",
            "affiliationName": "River Valley Physicians, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "205 W 6th St",
            "city": "East Liverpool",
            "state": "OH",
            "country_code": "US",
            "postal_code": "439202818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heather.hissom@rvp.eclinicaldirectplus.com",
            "affiliation": "Y",
            "affiliationName": "River Valley Physicians, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "16761 Saint Clair Ave Ste 2",
            "city": "East Liverpool",
            "state": "OH",
            "country_code": "US",
            "postal_code": "439209400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Julianne Henthorn
• Heritage Valley Medical Group, Inc.
• Heritage Valley Multispecialty Group, Inc.
• Michael Edward Hickman, CCC-SLP
• Addie Highfield, DO
• Hles of Ohio Inc
• Shawnda Lyn Hochstetler, MS.ED, LPCC-S
• Philip Hogate, LSW
• Jean A Holdren, DO PC
• Home LLC

• All providers in East Liverpool, OH
• Women's Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.