NICOLE G HEATH NPI 1942854930

NPI Information

  • NPI: 1942854930
  • Provider Name: NICOLE G HEATH
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5401 OLD YORK RD BLDG SUITE404
    PHILADELPHIA, PA
    ZIP 19141
  • Phone: (215) 456-7190

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NPI Details

Nicole G Heath is a neurology psychiatry neurology in Philadelphia, PA with 7 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Nicole G Heath NPI is 1942854930. 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:

5401 OLD YORK RD BLDG SUITE404
PHILADELPHIA, PA
ZIP 19141-030
Phone: (215) 456-7190
Fax: (215) 456-7308

The NPI 1942854930 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 7/29/2019 and was last updated on 7/24/2024.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2390200000XStudent in an Organized Health Care Education/Training ProgramMT219386PENNSYLVANIANo
32084N0400XPsychiatry & NeurologyNeurologyMD485735PENNSYLVANIAYes

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: 11/21/2025

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