JENNIFER L. D. HEUBERGER ARNP NPI 1578545075

NPI Information

NPI: 1578545075
Provider Name: JENNIFER L. D. HEUBERGER, ARNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: OVERLAKE MEDICAL CLINICS LLC

PECOS Registration: Yes

Address:
1200-112TH AVE NE
STE C 115
BELLEVUE, WA
ZIP 98004
Phone: (425) 455-0244
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Jennifer L. D. Heuberger, ARNP is a family nurse practitioner in Bellevue, WA with 20 years of experience. Jennifer L. D. Heuberger, ARNP NPI is 1578545075. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1200-112TH AVE NE
STE C 115
BELLEVUE, WA
ZIP 98004
Phone: (425) 455-0244
Fax: (425) 455-9411

The NPI 1578545075 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/18/2005 and was last updated on 3/22/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	AP30006790	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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