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HEIDI KATHLEEN HYNES NUTTALL PA-C
NPI 1649442849
Physician Assistant - Medical in Bradley, IL

Active since March 27, 2008
400 KENNEDY DR, STE 100, BRADLEY, IL 60915(815) 928-8050 Get Directions Write a Review

NPPES record last updated: August 30, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heidi Kathleen Hynes Nuttall Pa-c NPPES

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

HEIDI KATHLEEN HYNES NUTTALL PA-C (NPI 1649442849) is an individual medical provider in Bradley, Illinois, licensed in Illinois (085003195) and active in the NPI registry since March 2008.

NPPES Registry Identity

NPI1649442849
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameHEIDI KATHLEEN HYNES NUTTALLCredential: PA-C
Location Address400 KENNEDY DR, STE 100Bradley, IL 60915
Mailing Address400 Kennedy Dr, Ste 100Bradley, IL 60915 · (815) 928-8050
Phone(815) 928-8050
Sole ProprietorNo
Enumeration DateMarch 27, 2008
Last NPPES UpdateAugust 30, 2011
✔ NPI 1649442849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in IL · 085003195
400 KENNEDY DR, Bradley, IL 60915
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Other Identifiers 2

Medicare PINTXB132050TX
Medicare PINTXB131704TX

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 Heidi Nuttall's NPI number?

The NPI number for Heidi Nuttall is 1649442849. It was assigned to this individual provider in the NPPES registry on March 27, 2008.

Where is Heidi Nuttall located?

Heidi Nuttall practices at 400 Kennedy Dr Ste 100, Bradley, IL 60915. The listed phone number is (815) 928-8050.

What is Heidi Nuttall's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Heidi Nuttall was last updated on August 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.