HEATHER M MALCHAK AGNP
NPI 1255186011
Nurse Practitioner - Adult Health in Homer, NY

Q: What is Heather Malchak's NPI number?

The NPI number for Heather Malchak is 1255186011. It was assigned to this individual provider in the NPPES registry on April 23, 2024.

Q: What is Heather Malchak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Heather Malchak was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 23, 2024

70 NORTH WEST ST, HOMER, NY 13077(315) 225-0976 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2024, Jul 12, 2024, Apr 23, 2024 (3 updates tracked since 2024).

On this page

About Heather M Malchak Agnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEATHER M MALCHAK AGNP (NPI 1255186011) is an individual adult health provider in Homer, New York, licensed in New York (311918) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1255186011

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameHEATHER M MALCHAKCredential: AGNP

Location Address70 NORTH WEST STHomer, NY 13077

Mailing Address70 N. West StHomer, NY 13077 · (315) 225-0976

Phone(315) 225-0976

Sole ProprietorYes

Enumeration DateApril 23, 2024

Last NPPES UpdateAugust 5, 20243 updates tracked since enumeration

NPPES CertifiedAugust 5, 2024

✔ NPI 1255186011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · 311918

Also ListedRegistered NurseTaxonomy 163W00000X · License 621264 (NY)

70 NORTH WEST ST, Homer, NY 13077

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heather Malchak's NPI number?

The NPI number for Heather Malchak is 1255186011. It was assigned to this individual provider in the NPPES registry on April 23, 2024.

Where is Heather Malchak located?

Heather Malchak practices at 70 North West St, Homer, NY 13077. The listed phone number is (315) 225-0976.

What is Heather Malchak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Heather Malchak was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.