Doctor profile · Federal record
Dr. Heather Licata, PNP
Pediatric Nurse Practitioner · Saint Louis, MO
- NPI 1225544109
- 9 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
615 S New Ballas RD Ste 120
Saint Louis, MO 631418221
(314) 251-6986
fax (314) 251-5712
Credentials & registration
- NPI registered
- December 2017 — 9 yrs on file
- Profile last updated
- January 29, 2026
- Specialty taxonomy
- 363LP0200X — NUCC code
- State license (1)
- Missouri #2018005317
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1225544109. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$16
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Genentech USA, Inc. | 1 | $16.48 |
By nature of payment
Frequently asked questions
What is Dr. Heather Licata's medical specialty?
Dr. Heather Licata practices Pediatric Nurse Practitioner in Saint Louis, MO.
Where does Dr. Heather Licata practice?
Dr. Heather Licata practices at 615 S New Ballas RD Ste 120, Saint Louis, MO 631418221. Office phone: 3142516986.
What is Dr. Heather Licata's NPI?
Dr. Heather Licata's National Provider Identifier (NPI) is 1225544109, issued by NPPES.