Heather L Weidle

Primary specialty

Mastectomy FitterTaxonomy code 224900000X

Practice address

4811 Chippendale Dr Ste 208
Sacramento, CA 95841-2551

Phone

(916) 261-1352

NPI assigned

Dec 12, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Enhance by Linda Reib Inc.

  • Mastectomy Fitter
  • Sacramento, CA
  • NPI 1851461123
  NPD (past)

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1073224853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 CHIPPENDALE DR STE 208",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958412551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 CHIPPENDALE DR STE 208",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958412551",
            "telephone_number": "916-261-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDLE",
        "first_name": "HEATHER",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "",
            "desc": "Mastectomy Fitter",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOC",
            "identifier": "C21462",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Huixia Wei, M.D.
• Max Wei, M.D.
• Mary Christine Weideman, R. N.
• Joshua Weidenbach, PSY.D.
• Carrie Weidert
• Paul M Weidoff, M.D.
• Chelsea Maria Weightman, RN
• Melva Leeann Weikle Carson
• Kymberly Michelle Weinandy, MFT
• Haim Weinberg, PH.D.

• Mastectomy Fitter in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Mastectomy Fitter in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.