MS. JENNIFER PIERCE HEANEY FNP-BC NPI 1164814760

NPI Information

NPI: 1164814760
Provider Name: MS. JENNIFER PIERCE HEANEY, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
610 N MICHIGAN ST
SUITE 400
SOUTH BEND, IN
ZIP 46601
Phone: (575) 647-8120
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MS. Jennifer Pierce Heaney, FNP-BC is a family nurse practitioner in South Bend, IN with 10 years of experience. MS. Jennifer Pierce Heaney, FNP-BC NPI is 1164814760. 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:

610 N MICHIGAN ST
SUITE 400
SOUTH BEND, IN
ZIP 46601-077
Phone: (575) 647-8120

The NPI 1164814760 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 2/19/2015 and was last updated on 12/15/2023.

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	363L00000X	Nurse Practitioner		71005397A	INDIANA	No
2	363LF0000X	Nurse Practitioner	Family	28171646A	INDIANA	No
3	363LF0000X	Nurse Practitioner	Family	71005397A	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	000000925950	OTHER	INDIANA	BCBS BMG ADVANCED CARDIO SPECIALIST SOUTH BEND
2	201284000	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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