Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Heather Dawn Lavigne, NP

Individual provider Primary Care Nurse Practitioner · NPI 1700184942

Heather Dawn Lavigne, NP is a Nurse Practitioner in Grand Rapids, Michigan. Qualified in 2010, 16 years ago. Licensed in Michigan.

Years since qualifying
16
Licensed in
MI
In the registry since
2011
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

4100 Lake Dr SE Ste 205
Grand Rapids, MI 49546-8292
Phone: (616) 391-8202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 4704274665 (MI)

Record details

NPI number1700184942
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 12, 2011
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Not indicated

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