MEDICARE: STEPHANIE HEANEY

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	207V00000X	Obstetrics & Gynecology Physician	330423	LA

General Provider Information

NPI Number	:	1750886669
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE HEANEY

Provider Business Mailing Address
First Line	:	200 W ESPLANADE AVE STE 501
Second Line	:
City	:	KENNER
State	:	LA
Zip	:	70065-2475
Country	:	US
Telephone Number	:	504-464-8506
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 W ESPLANADE AVE STE 501
Second Line	:
City	:	KENNER
State	:	LA
Zip	:	70065-2475
Country	:	US
Telephone Number	:	504-464-8506
Fax Number	:

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

Provider Enumeration Date	:	03/25/2018
Last Update Date	:	06/22/2022

Similar Medicare Providers

1942603592 — MS. HEATHER WILLS P.A.
Practice Location Address:

200 W ESPLANADE AVE STE 500
KENNER, LA
70065-2475

Practice Phone: 504-412-1705
Practice Fax: 504-412-1702

1740983188 — MICHAEL DO
Practice Location Address:

200 W ESPLANADE AVE STE 412
KENNER, LA
70065-2475

Practice Phone: 504-464-2940
Practice Fax: 504-464-2941

1114241122 — JARRET BRASHEAR
Practice Location Address:

200 W ESPLANADE AVE STE 401
KENNER, LA
70065-2475

Practice Phone: 45-464-8588
Practice Fax:

1356657340 — DR. TRACY NICOLE CARLSON PH.D.
Practice Location Address:

200 W ESPLANADE AVE STE 412
KENNER, LA
70065-2475

Practice Phone: 504-464-2940
Practice Fax: 504-464-2941

1902265176 — MASON DYESS
Practice Location Address:

200 W ESPLANADE AVE STE 500
KENNER, LA
70065-2475

Practice Phone: 504-464-8588
Practice Fax: 504-464-8586

1437664943 — PRIMARY CARE AT HOME OF LOUISIANA IV, LLC
Practice Location Address:

200 W ESPLANADE AVE STE 601
KENNER, LA
70065-2475

Practice Phone: 504-252-3305
Practice Fax: 504-208-3249

Directions to “ STEPHANIE HEANEY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.