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HEART TO HEART PEDIATRICS LLC
NPI 1376192567
Nurse Practitioner - Pediatrics in Waterloo, IL

Active since September 10, 2019CLIA 14D2171616 · Waiver
224 BRADFORD LN, WATERLOO, IL 62298(618) 939-0112 Get Directions Write a Review

NPPES record last updated: October 2, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 2, 2019, Sep 10, 2019 (2 updates tracked since 2019).

About Heart To Heart Pediatrics Llc NPPES

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

HEART TO HEART PEDIATRICS LLC (NPI 1376192567) is a healthcare organization registered as a pediatrics in Waterloo, Illinois and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through September 4, 2027 and lists Ginny M Peter, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1376192567
Entity TypeOrganization
Primary Taxonomy363LP0200X
Legal Business NameHEART TO HEART PEDIATRICS LLC
Location Address224 BRADFORD LNWaterloo, IL 62298-3369
Mailing Address224 Bradford LnWaterloo, IL 62298-3369 · (618) 939-0112
Phone(618) 939-0112
Organization SubpartNo
Authorized OfficialGinny M PeterNurse Practitioner · (618) 939-0112
Enumeration DateSeptember 10, 2019
Last NPPES UpdateOctober 2, 20192 updates tracked since enumeration
✔ NPI 1376192567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
224 BRADFORD LN, Waterloo, IL 62298
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2171616

Heart To Heart Pediatrics, L L C · Waterloo, IL
Active · expires Sep 4, 2027
CLIA Number14D2171616
Laboratory TypePhysician Office
Certificate Effective DateSeptember 5, 2025
Certificate Expiration DateSeptember 4, 2027
Laboratory DirectorGinny M. Peter
Laboratory Phone(618) 939-0112
Laboratory LocationHeart To Heart Pediatrics, L L C224 Bradford Lane, Waterloo, IL 62298
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DONALD K. BURDEN D.D.S.
Dentist
224 BRADFORD LN
WATERLOO, IL 62298
Monroe County (618) 939-9599
COURTNEY O'KEEFE CPNP-PC
Nurse Practitioner (Pediatrics)
224 BRADFORD LN
WATERLOO, IL 62298
Monroe County (618) 939-0112
MEGAN ROBERTS
Nurse Practitioner (Pediatrics)
224 BRADFORD LN
WATERLOO, IL 62298
Monroe County (618) 939-0112
MACIE STROHMEIER
Nurse Practitioner (Pediatrics)
224 BRADFORD LN
WATERLOO, IL 62298
Monroe County (618) 939-0112
HANNAH IRENE BRASIER PNP-PC
Nurse Practitioner (Pediatrics)
224 BRADFORD LN
WATERLOO, IL 62298
Monroe County (618) 939-0112
MS. JAIME LYNN BECKER CPNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
224 BRADFORD LN
WATERLOO, IL 62298
Monroe County (618) 939-0112
GINNY M PETER CPNP
Nurse Practitioner (Pediatrics)
224 BRADFORD LN
WATERLOO, IL 62298
Monroe County (618) 939-0112
DR. ARON BRUK M.D.
Family Medicine
224 BRADFORD LN, SUITE A
WATERLOO, IL 62298
Monroe County (618) 939-8190

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 Heart To Heart Pediatrics LLC's NPI number?

The NPI number for Heart To Heart Pediatrics LLC is 1376192567. It was assigned to this organization in the NPPES registry on September 10, 2019.

Where is Heart To Heart Pediatrics LLC located?

Heart To Heart Pediatrics LLC is located at 224 Bradford Ln, Waterloo, IL 62298. The listed phone number is (618) 939-0112.

What is Heart To Heart Pediatrics LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Does Heart To Heart Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2171616) is associated with this NPI, valid through September 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Heart To Heart Pediatrics LLC was last updated on October 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.