MEDICARE: HEATHER PICKETT NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP2300X	Primary Care Nurse Practitioner	71011443-A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194490185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER PICKETT NP

Provider Business Mailing Address
First Line	:	PO BOX 843022
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64184-3022
Country	:	US
Telephone Number	:	317-770-6900
Fax Number	:	317-770-6911

Provider Business Practice Location Address
First Line	:	205 NOBLE CREEK DR
Second Line	:
City	:	NOBLESVILLE
State	:	IN
Zip	:	46060-3117
Country	:	US
Telephone Number	:	317-773-8483
Fax Number	:	317-776-0442

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2021
Last Update Date	:	01/05/2026

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Directions to “ HEATHER PICKETT NP” Practice Location

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