Laura Myers Hieronymus, C.A.N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

NP02577 Issued in OH

Practice address

1700 Mishawaka Ave
Student Activity Center RM 130
South Bend, IN 46634-7111

Phone

(574) 250-5557

Fax

(574) 520-5042

NPI assigned

Aug 15, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Adult Nurse Practitioner

State licenses

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187136000000",
    "number": "1922290790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MISHAWAKA AVE",
            "address_2": "STUDENT ACTIVITY CENTER RM 130, P.O. BOX 7111",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466151408",
            "telephone_number": "574-250-5557",
            "fax_number": "574-520-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MISHAWAKA AVE",
            "address_2": "STUDENT ACTIVITY CENTER RM 130",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466347111",
            "telephone_number": "574-250-5557",
            "fax_number": "574-520-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIERONYMUS",
        "first_name": "LAURA",
        "middle_name": "MYERS",
        "credential": "C.A.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "NP02577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madelyne M Heying
• Norman M Hezlep, RNFA
• Laura Hiatt
• Amalie B Hickman, LCSW
• Stephanie Nichole Hicks, MD
• Linda Higginbotham, MD
• Jean Higginson, MA
• Brandon Lance Hillin
• Olivia Hilton
• Thomas Joseph Himschoot, MSW

• Adult Health Nurse Practitioner in South Bend, IN
• Providers in South Bend, IN by specialty
• Adult Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.