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

Sondra Diane Heaston, NP-C

Individual provider Family Nurse Practitioner · NPI 1104916956

Sondra Diane Heaston, NP-C is a Nurse Practitioner in Salt Lake City, Utah. Qualified in 2005, 21 years ago. Practices with Premier Family Medical, a 84-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
21
Licensed in
UT
In the registry since
2006
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

3215 Valley St
Salt Lake City, UT 84109-4217
Phone: (801) 466-3102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 217181-8900 (UT)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 217181-4405 (UT)

Record details

NPI number1104916956
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedOctober 13, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Premier Family Medical — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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