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

Mrs. Heather Christine Licata, PNP

Individual provider Pediatric Nurse Practitioner · NPI 1225544109

Mrs. Heather Christine Licata, PNP is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2017, 9 years ago. Practices with Mercy Clinic Children's Cancer and Hematology LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
9
Licensed in
MO
In the registry since
2017
What do these letters mean?
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.

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Practice location Address checks out

615 S New Ballas Rd Ste 120
Saint Louis, MO 63141-8221
Phone: (314) 251-6986
Fax: (314) 251-5712
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 2018005317 (MO)

Record details

NPI number1225544109
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP
Sole proprietorNo
NPI enumeratedDecember 14, 2017
Last updated in NPPESJanuary 29, 2026
Certification dateJanuary 29, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Mercy Clinic Children'S Cancer And Hematology Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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