Shawna Nicole Heaps, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

7320070-4405 Issued in UT

Practice address

10654 S River Heights Dr Ste 210
South Jordan, UT 84095-5541

Phone

(801) 569-1456

NPI assigned

Aug 28, 2019

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 UT

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jordan Valley Dermatology Center LLCGroup PAC ID 5890019707, 5 clinicians

Smart and GibbsGroup PAC ID 0648607861, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nicoleh@jvdc.emadirect.md
• Direct secure messaging: sheaps58214@direct.med.utah.edu

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.

• Jordan Valley Dermatology Center LLC

  • Dermatology Physician
  • West Jordan, UT
  • NPI 1558766477
  Medicare reassignment Care Compare group NPD
• Smart & Gibbs

  dba Smart Skin Dermatology

  • Dermatology Physician
  • Lehi, UT
  • NPI 1548810401
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1982252318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10654 S RIVER HEIGHTS DR STE 210",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955541",
            "telephone_number": "801-569-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10654 S RIVER HEIGHTS DR STE 210",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955541",
            "telephone_number": "801-569-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAPS",
        "first_name": "SHAWNA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "7320070-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "nicheaps@gmail.com",
            "affiliation": "N",
            "address_1": "770 E Rose Cottage Way",
            "city": "Sandy",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840941259",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sheaps58214@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "UNIVERSITY OF UTAH",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Madeline Haws, APRN
• Patricia Hayner
• Heal SLC LLC
• Healthful Beginnings
• Healthquest of South Jordan
• Hearing Ladies
• Heart Mountain Health, Inc. (Amada Senior Care)
• Heart Stone Counseling LLC
• Heartbeat Home Care LLC
• Ashley Heaton

• Family Nurse Practitioner in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.