Provider Demographics
NPI:1124826086
Name:MCCORD, HEATHER LEIGH
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:LEIGH
Last Name:MCCORD
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4611 S 96TH ST STE 138
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68127-1240
Mailing Address - Country:US
Mailing Address - Phone:402-609-0408
Mailing Address - Fax:
Practice Address - Street 1:MARILYN FILLINGHAM
Practice Address - Street 2:18516 3RD ST
Practice Address - City:PLATTSMOUTH
Practice Address - State:NE
Practice Address - Zip Code:68048
Practice Address - Country:US
Practice Address - Phone:402-590-3175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant