Laken Heitz
Nurse Practitioner, Family in Louisville, KY. Individual provider (NPI-1).
NPI number1104604149
StatusActive
Last updated in NPPESSep 20, 2023
Details
- NPI
- 1104604149
- Entity type
- Individual (NPI-1)
- Name
- Laken Heitz
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2023
- Certification date
- Sep 20, 2023
- Last updated
- Sep 20, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 4009488 | KY | Yes |
Practice location
3288 Illinois AveLouisville, KY 40213-1014
Phone 502-515-5672
Mailing address
3288 Illinois AveLouisville, KY 40213-1014
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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