MRS. HEATHER ANN MASTERS A-GNP-C NPI 1043672660

NPI Information

NPI: 1043672660
Provider Name: MRS. HEATHER ANN MASTERS, A-GNP-C
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
500 W VOTAW ST
PORTLAND, IN
ZIP 47371
Phone: (260) 726-7131
Get Directions

MRS. Heather Ann Masters, A-GNP-C is a gerontology nurse practitioner in Portland, IN with 9 years of experience. MRS. Heather Ann Masters, A-GNP-C NPI is 1043672660. 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:

500 W VOTAW ST
PORTLAND, IN
ZIP 47371-322
Phone: (260) 726-7131
Fax: (260) 726-1975

The NPI 1043672660 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 3/23/2016 and was last updated on 3/6/2023.

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	363LA2200X	Nurse Practitioner	Adult Health	AG0316055	INDIANA	No
2	363LG0600X	Nurse Practitioner	Gerontology	AG0316055	INDIANA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AG0316055	INDIANA	No
4	363LG0600X	Nurse Practitioner	Gerontology	71006211A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	M22404130	OTHER	INDIANA	MEDICARE
2	201360110	MEDICAID	INDIANA

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: 4/28/2024

NPI Synchronization or Removal

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