Active NPI
Heather Christine Hunstad, OTR/L
- Occupational Therapist
- Minneapolis, MN
National Provider Identifier
1013302751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 104878
- Practice address
- 1910 5TH St NE
Minneapolis, MN 55418-4404 - Phone
- (651) 341-4055
- NPI assigned
- Mar 31, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 104878 | MN | Primary |
Addresses
Primary practice location
1910 5TH St NE
Minneapolis, MN 55418-4404
Mailing address
1910 5TH St NE
Minneapolis, MN 55418-4404
Phone (651) 341-4055
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340788 | Other | CERTIFICATION NUMBER | |
| 104878 | Other | MN | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104878 | MN | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427760000000",
"number": "1013302751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 5TH ST NE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554184404",
"telephone_number": "651-341-4055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 5TH ST NE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554184404",
"telephone_number": "651-341-4055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNSTAD",
"first_name": "HEATHER",
"middle_name": "CHRISTINE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-31",
"last_updated": "2015-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "104878",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFICATION NUMBER",
"identifier": "340788",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "104878",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.