Active NPI
Birgit Martha Heeren, CNP
- Nurse Practitioner
- Sioux Falls, SD
National Provider Identifier
1073564019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- CP000440
- Practice address
- 1301 S Cliff Ave
Ste. 601
Sioux Falls, SD 57105-1005 - Phone
- (605) 322-6930
- Fax
- (605) 322-6931
- NPI assigned
- May 15, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | CP000440 | SD | Primary |
Addresses
Primary practice location
1301 S Cliff Ave
Ste. 601
Sioux Falls, SD 57105-1005
Mailing address
PO Box 86370
Sioux Falls, SD 57118-6370
Phone (605) 322-6408
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 370624200 | Other | SD | DEPT OF LABOR |
| 1073564019 | Other | ARAZ/AMERICA'S PPO | |
| 76L99HE | Other | MN | BLUE CROSS |
| 4992421 | Other | SD | BLUE CROSS |
| 76L99HE | Other | CC SYSTEMS BLUE PLUS | |
| 92411422905 | Other | MN | PRIMEWEST |
| 2920926 | Medicaid | IA | |
| 407141053835 | Other | PREFERRED ONE | |
| 298415600 | Medicaid | MN | |
| 57105W013 | Other | WPS TRICARE | |
| 9255777 | Other | DAKOTACARE | |
| P00622980 | Other | SD | RR MEDICARE |
| 6828542 | Medicaid | SD | |
| HP86459 | Other | HEALTHPARTNERS |
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
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP000440 | SD | MD | Nurse Practitioner |
Interoperability endpoints
- birgit.heeren@avera.sdhealthlink.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539561600000",
"number": "1073564019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 86370",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571186370",
"telephone_number": "605-322-6408",
"fax_number": "605-322-4995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 S CLIFF AVE",
"address_2": "STE. 601",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051005",
"telephone_number": "605-322-6930",
"fax_number": "605-322-6931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEEREN",
"first_name": "BIRGIT",
"middle_name": "MARTHA",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-15",
"last_updated": "2018-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SD",
"license": "CP000440",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR",
"identifier": "370624200",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARAZ/AMERICA'S PPO",
"identifier": "1073564019",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "76L99HE",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "4992421",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CC SYSTEMS BLUE PLUS",
"identifier": "76L99HE",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIMEWEST",
"identifier": "92411422905",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2920926",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "407141053835",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "298415600",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WPS TRICARE",
"identifier": "57105W013",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAKOTACARE",
"identifier": "9255777",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00622980",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6828542",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP86459",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.