HEATHER PEAK RN NPI 1942623012

NPI Information

NPI: 1942623012
Provider Name: HEATHER PEAK, RN
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
175 GWINNETT DR
LAWRENCEVILLE, GA
ZIP 30046
Phone: (770) 241-5235
Get Directions

Heather Peak, RN is a psychiatric/mental health registered nurse in Lawrenceville, GA. Heather Peak, RN NPI is 1942623012. 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:

175 GWINNETT DR
LAWRENCEVILLE, GA
ZIP 30046-671
Phone: (770) 241-5235
Fax: (678) 682-8747

The enumeration date for this NPI number is 1/27/2014 and was last updated on 1/27/2014.

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	163W00000X	Registered Nurse		RN119363	GEORGIA	No
2	163WA0400X	Registered Nurse	Addiction (Substance Use Disorder)	RN119363	GEORGIA	No
3	251J00000X	Nursing Care		RN119363	GEORGIA	No
4	251S00000X	Community/Behavioral Health		RN119363	GEORGIA	No
5	163WP0808X	Registered Nurse	Psychiatric/Mental Health	RN119363	GEORGIA	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
1	0000000000	MEDICARE NSC	GEORGIA
2	123456789	MEDICARE UPIN	GEORGIA
3	N/A	MEDICAID	GEORGIA
4	123456789	MEDICARE PIN	GEORGIA

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: 5/5/2024

NPI Synchronization or Removal

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