NPIMap

Organization Active NPI

Sheila a Hoemberg LLC

  • Community/Behavioral Health Agency
  • Baxter, MN
National Provider Identifier
1134514334
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CNP0711 Issued in MN
Legal business name
SHEILA A HOEMBERG LLC
Practice address
7760 Excelsior Rd
Baxter, MN 56425-9767
Phone
(218) 454-0878
Fax
(218) 454-0879
NPI assigned
Apr 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2015

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

Authorized official

Name
Sheila Ann Hoemberg, PMHNPNPI 1689753741
Title
Owner
Phone
(218) 371-7136

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CNP0711 MN Primary

Addresses

Primary practice location

7760 Excelsior Rd
Baxter, MN 56425-9767

Mailing address

410 10TH St NW
Wadena, MN 56482-1039
Phone (218) 371-7136

National Provider Directory

National Provider Directory

Locations

7760 Excelsior Rd
Baxter, MN 56425
Phone (218) 454-0878

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428019200000",
    "number": "1134514334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 10TH ST NW",
            "city": "WADENA",
            "state": "MN",
            "postal_code": "564821039",
            "telephone_number": "218-371-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7760 EXCELSIOR RD",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564259767",
            "telephone_number": "218-454-0878",
            "fax_number": "218-454-0879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEILA A HOEMBERG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-03",
        "last_updated": "2015-04-03",
        "status": "A",
        "authorized_official_last_name": "HOEMBERG",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-371-7136",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "CNP0711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baxter, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; 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.