Individual provider Active NPI

Heidi Arens, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Encinitas, CA
National Provider Identifier
1104302173
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95007822 Issued in CA
Practice address
4403 Manchester Ave Ste 107
Encinitas, CA 92024-4939
Phone
(760) 224-1944
NPI assigned
Jul 12, 2018
Last updated
Jul 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95007822 CA Primary

Addresses

Primary practice location

4403 Manchester Ave Ste 107
Encinitas, CA 92024-4939

Mailing address

4403 Manchester Ave Ste 107
Encinitas, CA 92024-4939
Phone (760) 224-1944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2022 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95007822CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Medicine of Idaho PC Past Accepting new patients
Saint Alphonsus Regional Medical Center Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1104302173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 MANCHESTER AVE STE 107",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244939",
            "telephone_number": "760-224-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 MANCHESTER AVE STE 107",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244939",
            "telephone_number": "760-224-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARENS",
        "first_name": "HEIDI",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-12",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95007822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.