Provider Demographics
NPI:1134228786
Name:MYERS, HEATHER L (ARNP)
Entity type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:L
Last Name:MYERS
Suffix:
Gender:
Credentials:ARNP
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:L
Other - Last Name:KOCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:PO BOX 1754
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66601-1754
Mailing Address - Country:US
Mailing Address - Phone:785-234-0880
Mailing Address - Fax:
Practice Address - Street 1:120 W 8TH ST
Practice Address - Street 2:
Practice Address - City:ONAGA
Practice Address - State:KS
Practice Address - Zip Code:66521-9574
Practice Address - Country:US
Practice Address - Phone:785-889-4274
Practice Address - Fax:785-889-4714
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS45481363LF0000X
KS53-45481363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200001580AMedicaid
KS30004433200001Medicaid