SONDRA DIANE HEASTON (NP-C) – Family Nurse Practitioner, NPI 1104916956

SONDRA DIANE HEASTON (NP-C) is a healthcare provider. based in Salt lake city, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 217181-4405 (UT). The NPI Number for SONDRA DIANE HEASTON (NP-C) is 1104916956

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
SONDRA DIANE HEASTON (NP-C)
NPI
1104916956
Phone
(801) 466-3102
Address
3215 VALLEY ST
Enumeration Date
13 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8017563511
Graduation Year
2005 (21 years ago)
PAC ID
7315004652
Group Practice PAC ID
7416197785
Professional Enrollment ID
I20090331000608
Address ID
UT840624047PL830XX2000300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

Loading map...

Provider Addresses for SONDRA DIANE HEASTON (NP-C)

  • Salt Lake City, Salt Lake County, Utah, United States

    SALT LAKE CITY, UT 841094217

    Phone: (801) 466-3102

    Type: Location

  • 1481, North 1450 East, Oak Hills, Provo, Utah County, Utah, 84604, United States

    PROVO, UT 846043714

    Phone: (801) 377-1298

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-03-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090331000608INurse PractitionerUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 84109)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416197785View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for SONDRA DIANE HEASTON (NP-C)?
Save NPI 1104916956 if you need a stable reference for SONDRA DIANE HEASTON (NP-C).
Does this profile mean SONDRA DIANE HEASTON (NP-C) is currently active?
Yes — SONDRA DIANE HEASTON (NP-C) appears active in the national provider directory.
What kind of provider is SONDRA DIANE HEASTON (NP-C)?
The page reflects Family Nurse Practitioner for SONDRA DIANE HEASTON (NP-C). Clinical services aligned with this taxonomy classification.
Does SONDRA DIANE HEASTON (NP-C) practice in Utah?
You will see Salt Lake City, Utah on file for SONDRA DIANE HEASTON (NP-C) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

LISA A BARKDULL (F.N.P.)

Family Nurse Practitioner
1481 RENAISSANCE PL
NPI: 1114920402

CHRISTOPHER SINGER (FNP)

Family Nurse Practitioner
MONTEZUMA CREEK CHC
NPI: 1073517991

Unknown Individual

Family Nurse Practitioner
PO BOX 25608
NPI: 1215935960
Cedar City Hospital, 1303, North Main Street, Cedar City, Iron County, Utah, 84721, United States
NPI: 1871594002

MR. RYAN DENNIS CHURCH (FNP-C)

Family Nurse Practitioner
PO BOX 313
NPI: 1912909714

REBECCA WALLACE (APRN)

Family Nurse Practitioner
1837, Hollywood Avenue, Sugar House, Salt Lake City, Salt Lake County, Utah, 84108, United States
NPI: 1104810134
197, Deltona Boulevard, Saint Augustine Shores, Saint Johns County, Florida, 32086, United States
NPI: 1861488546

MRS. CYNTHIA L. HAACKE (FNP-C)

Family Nurse Practitioner
PO BOX 27128
NPI: 1003803792

Unknown Individual

Family Nurse Practitioner
PO BOX 30180
NPI: 1760479265