Active NPI
Heidi Jane Rasmussen, MD
- Family Medicine Physician
- Latham, NY
National Provider Identifier
1215926977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 190713
- Practice address
- 1205 Troy Schenectady Rd Ste 101
Latham, NY 12110-1074 - Phone
- (518) 348-3176
- NPI assigned
- Oct 17, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 190713 | NY | Primary |
Addresses
Primary practice location
1205 Troy Schenectady Rd Ste 101
Latham, NY 12110-1074
Mailing address
PO Box 304
Glens Falls, NY 12801-0304
Phone (518) 686-5002
Other practice location 1
16 Danforth St
Hoosick Falls Family Health Center
Hoosick Falls, NY 12090-1226
Phone (518) 686-5002
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02509328 | Medicaid | NY | |
| P00409134 | Other | NY | RR MEDICARE |
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: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2023 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Vermont Medical Center Inc | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- hrasmussen@landmarkhealth-direct.org
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Burlington, VT
- NPI 1659309615
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571875200000",
"number": "1215926977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 304",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "128010304",
"telephone_number": "518-686-5002",
"fax_number": "518-686-1848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 TROY SCHENECTADY RD STE 101",
"city": "LATHAM",
"state": "NY",
"postal_code": "121101074",
"telephone_number": "518-348-3176"
}
],
"practiceLocations": [
{
"address_1": "16 Danforth St",
"address_2": "Hoosick Falls Family Health Center",
"address_purpose": "LOCATION",
"city": "Hoosick Falls",
"state": "NY",
"postal_code": "120901226",
"country_code": "US",
"telephone_number": "518-686-5002",
"fax_number": "518-686-1848",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RASMUSSEN",
"first_name": "HEIDI",
"middle_name": "JANE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-17",
"last_updated": "2019-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "190713",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02509328",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00409134",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Latham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.