HEATHER ENDICOTT
NPI 1699196030
Nurse Practitioner - Family in San Diego, CA

Active since January 03, 2014
6195 LUSK BLVD STE 250, SAN DIEGO, CA 92121(858) 859-1188 Get Directions Write a Review

NPPES record last updated: December 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 1, 2022, May 6, 2019, Jul 9, 2018 (3 updates tracked since 2018).

About Heather Endicott NPPES

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

HEATHER ENDICOTT (NPI 1699196030) is an individual family provider in San Diego, California, licensed in California (14884) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1699196030
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHEATHER ENDICOTT
Location Address6195 LUSK BLVD STE 250San Diego, CA 92121-3715
Mailing Address6195 Lusk Blvd Ste 250San Diego, CA 92121-3715
Sole ProprietorNo
Enumeration DateJanuary 3, 2014
Last NPPES UpdateDecember 1, 20223 updates tracked since enumeration
NPPES CertifiedDecember 1, 2022
NPI 1699196030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 14884
6195 LUSK BLVD STE 250, San Diego, CA 92121

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
6195 LUSK BLVD STE 250
SAN DIEGO, CA 92121
Nurse Practitioner (Family)
6195 LUSK BLVD STE 250
SAN DIEGO, CA 92121
Nurse Practitioner (Family)
6195 LUSK BLVD STE 250
SAN DIEGO, CA 92121
Physician Assistant (Medical)
6195 LUSK BLVD STE 250
SAN DIEGO, CA 92121
Nurse Practitioner (Family)
6195 LUSK BLVD STE 250
SAN DIEGO, CA 92121
Physician Assistant (Medical)
6195 LUSK BLVD STE 250
SAN DIEGO, CA 92121
Nurse Practitioner (Family)
6195 LUSK BLVD STE 250
SAN DIEGO, CA 92121
Nurse Practitioner (Family)
6195 LUSK BLVD STE 250
SAN DIEGO, CA 92121

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 Endicott's NPI number?

The NPI number for Heather Endicott is 1699196030. It was assigned to this individual provider in the NPPES registry on January 3, 2014.

Where is Heather Endicott located?

Heather Endicott practices at 6195 Lusk Blvd Ste 250, San Diego, CA 92121. The listed phone number is (858) 859-1188.

What is Heather Endicott's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Heather Endicott was last updated on December 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.