ALANNAH DEIRDRE HEFFERNAN
NPI 1639912090
Student in an Organized Health Care Education/Training Program in Dedham, MA

Active since June 14, 2024PECOS Enrolled
12 WALTERS AVE, DEDHAM, MA 02026(781) 801-9144 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alannah Deirdre Heffernan NPPES

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

ALANNAH DEIRDRE HEFFERNAN (NPI 1639912090) is an individual student in an organized health care education/training program in Dedham, Massachusetts and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639912090
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameALANNAH DEIRDRE HEFFERNAN
Location Address12 WALTERS AVEDedham, MA 02026-6328
Mailing Address12 Walters AveDedham, MA 02026-6328 · (781) 801-9144
Sole ProprietorNo
Enumeration DateJune 14, 2024
NPPES CertifiedApril 24, 2024
NPI 1639912090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
12 WALTERS AVE, Dedham, MA 02026

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Alannah Deirdre Heffernan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Alannah Heffernan's NPI number?

The NPI number for Alannah Heffernan is 1639912090. It was assigned to this individual provider in the NPPES registry on June 14, 2024.

Where is Alannah Heffernan located?

Alannah Heffernan practices at 12 Walters Ave, Dedham, MA 02026. The listed phone number is (781) 801-9144.

What is Alannah Heffernan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Alannah Heffernan enrolled in Medicare?

Yes. Alannah Heffernan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alannah Heffernan was last updated on June 14, 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.