Provider Demographics
NPI:1881563195
Name:HEIDEL, SARAH GRACE HIGHTOWER
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:GRACE HIGHTOWER
Last Name:HEIDEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 BRIARHURST CT NW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35810-4487
Mailing Address - Country:US
Mailing Address - Phone:470-825-7235
Mailing Address - Fax:
Practice Address - Street 1:4900 MERIDIAN ST N
Practice Address - Street 2:SUITE 130, BUCHANAN HALL
Practice Address - City:NORMAL
Practice Address - State:AL
Practice Address - Zip Code:35762
Practice Address - Country:US
Practice Address - Phone:256-372-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-04
Last Update Date:2025-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program