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

Heather Popham, NP

Individual provider Adult Health Nurse Practitioner · NPI 1093086985

Heather Popham, NP is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2004, 22 years ago. Practices with Impact Physician Group Missouri LLC, an 18-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
22
Licensed in
MO
In the registry since
2012
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

3009 N Ballas Rd Ste 207B
Saint Louis, MO 63131-2322
Phone: (314) 996-7960
Fax: (314) 989-0235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 2011041207 (MO)

Record details

NPI number1093086985
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedJanuary 24, 2012
Last updated in NPPESOctober 15, 2014

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Impact Physician Group Missouri Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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