Derrick Paul Heatherly, LPN - Licensed Practical Nurse in Kansas City, MO

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Derrick Paul Heatherly, LPN is a Licensed Practical Nurse based in Kansas City, Missouri. Derrick Paul Heatherly is licensed to practice in Missouri (license number 2001027589) and his current practice location is 4251 Northern Ave, Kansas City, Missouri. He can be reached at his office (for appointments etc.) via phone at (816) 861-4700.

NPI number for Derrick Paul Heatherly is 1336946714 and his current mailing address is 601 Ne 2nd St, Blue Springs, Missouri. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336946714.

Contact Information

Derrick Paul Heatherly, LPN
4251 Northern Ave,
Kansas City, MO 64133-1593
(816) 861-4700
Not Available

Map and Direction




Provider's Profile

Full NameDerrick Paul Heatherly
GenderMale
SpecialityLicensed Practical Nurse
Location4251 Northern Ave, Kansas City, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1336946714
  • Provider Enumeration Date: 02/25/2025
  • Last Update Date: 02/25/2025

Medical Identifiers

Medical identifiers for Derrick Paul Heatherly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336946714NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 2001027589 (Missouri)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Derrick Paul Heatherly is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Derrick Paul Heatherly, LPN
601 Ne 2nd St,
Blue Springs, MO 64014-2903

Ph: (816) 933-3663		Derrick Paul Heatherly, LPN
4251 Northern Ave,
Kansas City, MO 64133-1593

Ph: (816) 861-4700

Reviews and Comments


Licensed Practical Nurse Nurses in Kansas City, MO

Chelsey Clayton,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 4801 E Linwood Blvd, Kansas City, MO 64128
Phone: 816-861-4700    
Catherine Marinan,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 4801 E Linwood Blvd, Kansas City, MO 64128
Phone: 816-861-4700    
Mrs. Amanda Lee Hevalow, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 723 E 18th St, Kansas City, MO 64108
Phone: 816-283-3877    Fax: 816-283-3310
Amanda Stacey Gideon, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 4801 E Linwood Blvd, Kansas City, MO 64128
Phone: 816-861-4700    
Ryan Goss,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 4801 E Linwood Blvd, Kansas City, MO 64128
Phone: 816-861-4700    
Mrs. Cecile Amanda Lewin, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 4801 E Linwood Blvd, Kansas City, MO 64128
Phone: 816-861-4700    
Mr. David Howard Johnson Jr., LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 4801 E Linwood Blvd, Kansas City, MO 64128
Phone: 816-861-4700    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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