DERRICK PAUL HEATHERLY LPN
NPI 1336946714
Licensed Practical Nurse in Kansas City, MO
NPI Status: Active since February 25, 2025
Contact Information
4251 NORTHERN AVE
KANSAS CITY, MO
ZIP 64133
Phone: (816) 861-4700
- Individual
- Male
- Licensed Practical Nurse
About DERRICK HEATHERLY
This page provides the complete NPI Profile along with additional information for Derrick Heatherly, a provider established in Kansas City, Missouri with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1336946714 assigned on February 2025. The practitioner's primary taxonomy code is 164W00000X with license number 2001027589 (MO). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1336946714
- Provider Name
- DERRICK PAUL HEATHERLY LPN
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4251 NORTHERN AVE KANSAS CITY, MO 64133
- Location Phone
- (816) 861-4700
- Mailing Address
- 601 NE 2ND ST BLUE SPRINGS, MO 64014
- Mailing Phone
- (816) 933-3663
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-25-2025
- Last Update Date
- 02-25-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- 2001027589
- License State
- MO
- Taxonomy Description
- A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 9 | 4 | 6 | 7 | 1 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 18 | 4 | 12 | 7 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 1 + 8 + 4 + 1 + 2 + 7 + 2 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1336946714 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1629486287 | DR. AMBER HINTON-DAMPF PH.D. Individual | Psychologist (Clinical) | 4251 NORTHERN AVE KANSAS CITY, MO 64133 (816) 861-4700 |
| 1669859898 | MRS. JEANA URANIA SMITH LMSW Individual | Social Worker | 4251 NORTHERN AVE KANSAS CITY, MO 64133 (816) 861-4700 |
| 1235194705 | SUDHIR HEGDE M.D., PH.D. Individual | Internal Medicine | 4251 NORTHERN AVE KANSAS CITY, MO 64133 (816) 861-4700 |
| 1215981980 | SAVITRI MANDA M.D. Individual | Family Medicine | 4251 NORTHERN AVE KANSAS CITY, MO 64133 (816) 922-2366 |
| 1912989138 | DANE K WICKS MD Individual | Family Medicine | 4251 NORTHERN AVE HONOR ANNEX KANSAS CITY VA KANSAS CITY, MO 64133 (816) 922-2870 |
| 1053957472 | AVONNE DANELL ROSARIO NP Individual | Nurse Practitioner (Primary Care) | 4251 NORTHERN AVE KANSAS CITY, MO 64133 (816) 922-2333 |
| 1053866541 | DAXTEN PRUTER NURSE PRACTITIONER Individual | Nurse Practitioner (Family) | 4251 NORTHERN AVE KANSAS CITY, MO 64133 (181) 686-1470 |
| 1568063246 | DR. VERONICA OTERO RAMOS PSY.D. Individual | Psychologist | 4251 NORTHERN AVE KANSAS CITY, MO 64133 (816) 861-4700 |
| 1225384001 | DR. LLOYD BERNARD BLEDSOE M.D. Individual | Family Medicine | 4251 NORTHERN AVE KANSAS CITY, MO 64133 (816) 861-4700 |
| 1972273969 | DR. JAMIE KRATKY PH.D. Individual | Psychologist (Counseling) | 4251 NORTHERN AVE KANSAS CITY, MO 64133 (816) 922-2641 |
| 1295052496 | DR. NICHOLAS B HEINECKE PSY.D. Individual | Psychologist | 4251 NORTHERN AVE KANSAS CITY, MO 64133 (816) 861-4700 |
| 1316660384 | CHI SUK KIM FNP-BC Individual | Nurse Practitioner (Family) | 4251 NORTHERN AVE KANSAS CITY, MO 64133 (816) 861-4700 |
| 1760860514 | MICHAEL J. REDD PH.D., IMFT Individual | Marriage & Family Therapist | 4251 NORTHERN AVE KANSAS CITY, MO 64133 (816) 861-4700 |
| 1598580508 | DR. MOLLY T HARRIS PHD Individual | Student in an Organized Health Care Education/Training Program | 4251 NORTHERN AVE KANSAS CITY, MO 64133 (816) 316-3176 |
| 1386459329 | JARED HAGER RN Individual | Registered Nurse (Case Management) | 4251 NORTHERN AVE KANSAS CITY, MO 64133 (816) 861-4700 |
| 1659186674 | ERICKA PUGH Individual | Registered Nurse (Ambulatory Care) | 4251 NORTHERN AVE KANSAS CITY, MO 64133 (816) 922-2665 |
| 1104631910 | SASHA ELLEN CART RN Individual | Registered Nurse (Psychiatric/Mental Health) | 4251 NORTHERN AVE KANSAS CITY, MO 64133 (816) 728-1396 |
| 1124833967 | JOSHUA SIMONIS RN Individual | Registered Nurse | 4251 NORTHERN AVE KANSAS CITY, MO 64133 (816) 922-2338 |
| 1205641016 | KARA ANN STANLEY Individual | Registered Nurse (Psychiatric/Mental Health) | 4251 NORTHERN AVE KANSAS CITY, MO 64133 (816) 769-0103 |
| 1427863844 | CHRISTIE S HALL LPN Individual | Licensed Practical Nurse | 4251 NORTHERN AVE KANSAS CITY, MO 64133 (816) 861-4700 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336946714, enumerated in the NPI registry as an "individual" on February 25, 2025
The provider is located at 4251 Northern Ave Kansas City, Mo 64133 and the phone number is (816) 861-4700
The provider's speciality is Licensed Practical Nurse with taxonomy code 164W00000X
This NPI record was last updated on February 25, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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