MRS. HEATHER LYNN THEISEN ARNP
NPI 1750879003
Nurse Practitioner - Pediatrics in Gulfport, MS

Q: What is Heather Theisen's NPI number?

The NPI number for Heather Theisen is 1750879003. It was assigned to this individual provider in the NPPES registry on April 23, 2018.

Q: What is Heather Theisen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Heather Theisen was last updated on August 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since April 23, 2018

15190 COMMUNITY RD STE 330, GULFPORT, MS 39503(228) 328-1401 Get Directions Write a Review

NPPES record last updated: August 23, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 23, 2018, Apr 23, 2018 (2 updates tracked since 2018).

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About Mrs. Heather Lynn Theisen Arnp NPPES

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

MRS. HEATHER LYNN THEISEN ARNP (NPI 1750879003) is an individual pediatrics provider in Gulfport, Mississippi, licensed in Mississippi (902515) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1750879003

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMRS. HEATHER LYNN THEISENCredential: ARNP

Location Address15190 COMMUNITY RD STE 330Gulfport, MS 39503

Mailing Address15190 Community Rd Ste 330Gulfport, MS 39503-3498 · (282) 328-1401

Phone(228) 328-1401

Sole ProprietorNo

Enumeration DateApril 23, 2018

Last NPPES UpdateAugust 23, 20182 updates tracked since enumeration

✔ NPI 1750879003 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 MS · 902515

15190 COMMUNITY RD STE 330, Gulfport, MS 39503

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., MedMutual.Insurance ›

Other Providers at the Same Location NPPES 2

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

DR. ERICA FRANK MD

Pediatrics

15190 COMMUNITY RD STE 330
GULFPORT, MS 39503

Harrison County (228) 328-1401

TAMARA W. HARPER MD

Pediatrics

15190 COMMUNITY RD STE 330
GULFPORT, MS 39503

Harrison County (228) 328-1401

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 Theisen's NPI number?

The NPI number for Heather Theisen is 1750879003. It was assigned to this individual provider in the NPPES registry on April 23, 2018.

Where is Heather Theisen located?

Heather Theisen practices at 15190 Community Rd Ste 330, Gulfport, MS 39503. The listed phone number is (228) 328-1401.

What is Heather Theisen's specialty?

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

What insurance does Heather Theisen accept?

Health plans from Antidote Health Plan of Ohio, Inc. and MedMutual list Heather Theisen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heather Theisen was last updated on August 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.