Individual provider Active NPI

Heather Schiedermayer, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Missoula, MT
National Provider Identifier
1013585595
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NUR-APRN-LIC-176103 Issued in MT
Practice address
2831 Fort Missoula Rd Ste 206
Missoula, MT 59804-7479
Phone
(406) 540-3367
NPI assigned
Jun 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024181066 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 176207 AK
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NUR-APRN-LIC-176103 MT Primary

Addresses

Primary practice location

2831 Fort Missoula Rd Ste 206
Missoula, MT 59804-7479

Mailing address

2831 Fort Missoula Rd Ste 206
Missoula, MT 59804-7479
Phone (406) 728-4100

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
176207AKMDPsychiatric/Mental Health Nurse Practitioner
NUR-APRN-LIC-176103MTMDPsychiatric/Mental Health Nurse Practitioner
0024181066VAMDPsychiatric/Mental Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: hschiedermayer@direct.communitymed.org

NPI Registry JSON

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1013585595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 FORT MISSOULA RD STE 206",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047479",
            "telephone_number": "406-728-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 FORT MISSOULA RD STE 206",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047479",
            "telephone_number": "406-540-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIEDERMAYER",
        "first_name": "HEATHER",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024181066",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AK",
            "license": "176207",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "NUR-APRN-LIC-176103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.