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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

HEATHER MARIE RAYBOLD CRNP, CPNP-PC
NPI 1710803598
Nurse Practitioner - Pediatrics in Philadelphia, PA

Active since June 26, 2026
8556 BUSTLETON AVE, PHILADELPHIA, PA 19152(215) 698-9200 Get Directions Write a Review

NPPES record added: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Heather Marie Raybold Crnp, Cpnp-pc NPPES

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

HEATHER MARIE RAYBOLD CRNP, CPNP-PC (NPI 1710803598) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP036319) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1710803598
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameHEATHER MARIE RAYBOLDCredential: CRNP, CPNP-PC
Location Address8556 BUSTLETON AVEPhiladelphia, PA 19152-1218
Mailing Address8556 Bustleton AvePhiladelphia, PA 19152-1218 · (215) 698-9200
Phone(215) 698-9200
Sole ProprietorNo
Enumeration DateJune 26, 2026
NPPES CertifiedJune 26, 2026
✔ NPI 1710803598 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
License✔ Licensed in PA · SP036319
8556 BUSTLETON AVE, Philadelphia, PA 19152
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Other Providers at the Same Location NPPES 9

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

VARKEY MATHEW MD
Pediatrics
8556 BUSTLETON AVE
PHILADELPHIA, PA 19152
Philadelphia County (215) 698-9200
DR. JANICE ELIZABETH JOSEPH DO
Pediatrics
8556 BUSTLETON AVE
PHILADELPHIA, PA 19152
Philadelphia County (215) 456-7000
MRS. MONIKA FISCHER ERTWINE CPNP-PC
Nurse Practitioner (Pediatrics)
8556 BUSTLETON AVE
PHILADELPHIA, PA 19152
Philadelphia County (215) 698-9200
JENNIFER MY DINH CPNP
Nurse Practitioner (Pediatrics)
8556 BUSTLETON AVE
PHILADELPHIA, PA 19152
Philadelphia County (215) 698-9200
DIANA SANDMEYER
Pediatrics
8556 BUSTLETON AVE
PHILADELPHIA, PA 19152
Philadelphia County (215) 698-9200
CARA LYNN MYERS CPNP-PC
Nurse Practitioner (Pediatrics)
8556 BUSTLETON AVE
PHILADELPHIA, PA 19152
Philadelphia County (215) 698-9200
MISS JANE EUNYOUNG CHUNG CPNP-PC
Nurse Practitioner (Pediatrics)
8556 BUSTLETON AVE
PHILADELPHIA, PA 19152
Philadelphia County (215) 698-9200
LEIGH ROBERTS MD
Pediatrics
8556 BUSTLETON AVE
PHILADELPHIA, PA 19152
Philadelphia County (215) 698-9200

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 Raybold's NPI number?

The NPI number for Heather Raybold is 1710803598. It was assigned to this individual provider in the NPPES registry on June 26, 2026.

Where is Heather Raybold located?

Heather Raybold practices at 8556 Bustleton Ave, Philadelphia, PA 19152. The listed phone number is (215) 698-9200.

What is Heather Raybold's specialty?

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

When was this NPI record last updated?

The NPPES record for Heather Raybold was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.