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Derrick Heatherly, LPN
NPI 1336946714 · Licensed Practical Nurse · Kansas City, MO
Derrick Heatherly, LPN is a Licensed Practical Nurse provider in Kansas City, MO (NPI 1336946714).
Provider details
- NPI number
- 1336946714
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2001027589 (MO)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4251 Northern Ave
Kansas City, MO 64133-1593
Phone: (816) 861-4700
Street-level locationGet directions
Mailing address
601 Ne 2nd St
Blue Springs, MO 64014-2903
Registry dates
- Enumerated
- 2025-02-25
- Last updated
- 2025-02-25
- Certified
- 2025-02-25
Frequently asked questions
- What is Derrick Heatherly's NPI number?
- Derrick Heatherly's National Provider Identifier (NPI) is 1336946714, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derrick Heatherly's specialty?
- Derrick Heatherly is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Derrick Heatherly located?
- Derrick Heatherly's practice location on file with NPPES is 4251 Northern Ave, Kansas City, MO 64133-1593.
- What is Derrick Heatherly's phone number?
- The practice phone number listed in the NPPES registry for Derrick Heatherly is (816) 861-4700.
- Is Derrick Heatherly's NPI active?
- Yes — Derrick Heatherly's NPI (1336946714) is active in the NPPES registry as of the last update on 2025-02-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.