Heather Leigh Restivo
Heather Leigh Restivo is a Certified Registered Nurse Anesthetist (CRNA) in Urbana, Illinois. Qualified in 2020, 6 years ago. Practices with St Alphonsus Professional Medical Services LLC, a 123-clinician group and accepts Medicare assignment. Licensed in Florida, Illinois and Louisiana.
- Years since qualifying
- 6
- Licensed in
- FL, IL, LA
- In the registry since
- 2020
- Specialties on file
- 3
Practice location Address checks out
611 W Park StUrbana, IL 61801-2529
Phone: (217) 383-3303
Fax: (217) 383-3265
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence 209024728 (IL) |
|---|---|
| School Registered Nurse | Taxonomy 163WS0200X · Licence RN152039 (LA) |
| Certified Registered Nurse Anesthetist | Taxonomy 367500000X · Licence APRN11007580 (FL) |
Record details
| NPI number | 1487283438 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 2, 2020 |
| Last updated in NPPES | May 19, 2022 |
| Certification date | May 19, 2022 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | St Alphonsus Professional Medical Services Llc — 123 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |