Amber Sharp Heise, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

7293442-1205 Issued in UT

Practice address

4745 S 3200 W
Taylorsville, UT 84129-2822

Phone

(801) 964-6124

NPI assigned

Dec 8, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other names 1

• Amber Sharp Former name

Medicare fee-for-service enrollment

Enrolled in UT, OR2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aheise649642@direct.peacehealth.org
• FHIR API: https://fhir4.healow.com/fhir/r4/ACFCAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • West Valley City, UT
  • NPI 1952505117

  Pediatrics

  Medicare reassignment NPD
• Peacehealth Medical Group

  • Family Medicine Physician
  • Eugene, OR
  • NPI 1447207287

  Pediatrics

  Medicare reassignment NPD
• Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Midvale, UT
  • NPI 1073611364

  Pediatrics

  NPD
• Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Salt Lake City, UT
  • NPI 1255757670

  Pediatrics

  NPD
• Peacehealth Medical Group

  • Birthing Clinic/Center
  • Springfield, OR
  • NPI 1881860856
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400544000000",
    "number": "1013077478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4745 S 3200 W",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841292822",
            "telephone_number": "801-964-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 S 3200 W",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841292822",
            "telephone_number": "801-964-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEISE",
        "first_name": "AMBER",
        "middle_name": "SHARP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2014-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M4143",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A111138",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "UT",
            "license": "7293442-1205",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ND",
            "license": "12079",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "SHARP",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kim T Heaton, MD
• Raquel Heckman
• Laura Heidler
• Stephanie Marie Heinhold, DPT
• Averee Heinlen
• Luke Joshua Heitz, M.D.
• Stacey Hembury, ACMHC
• Joy Henderson
• Aubrey Hendrickson
• Ella Hendrickson

• Pediatrics Physician in Taylorsville, UT
• Providers in Taylorsville, UT by specialty
• Pediatrics Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.