Individual provider Active NPI

Heather Lynne Rocheford, M.D.

  • Plastic Surgery Physician
  • Woodbury, MN
National Provider Identifier
1063499820
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
40957 Issued in MN
Practice address
2101 Woodwinds Dr
Suite 400
Woodbury, MN 55125-2525
Phone
(651) 739-1100
Fax
(651) 209-1112
NPI assigned
Dec 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 40957 MN Primary
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 40957 MN

Addresses

Primary practice location

2101 Woodwinds Dr
Suite 400
Woodbury, MN 55125-2525

Mailing address

2444 Nebraska Ave E
Maplewood, MN 55119-7175
Phone (651) 739-1100

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
40957MNMDPlastic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1063499820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2444 NEBRASKA AVE E",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551197175",
            "telephone_number": "651-739-1100",
            "fax_number": "651-209-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 WOODWINDS DR",
            "address_2": "SUITE 400",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252525",
            "telephone_number": "651-739-1100",
            "fax_number": "651-209-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHEFORD",
        "first_name": "HEATHER",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MN",
            "license": "40957",
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "MN",
            "license": "40957",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.