Tara Heydt

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

25697600 Issued in PA

Practice address

100 Red Hill Dr
Palmerton, PA 18071-1740

Phone

(484) 464-3474

NPI assigned

Oct 31, 2016

Last updated

Oct 31, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1235681875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "180710277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RED HILL DR",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "180711740",
            "telephone_number": "484-464-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEYDT",
        "first_name": "TARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "PA",
            "license": "25697600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert B. Grob, D.O.
• Scott Eric Gruber, D.P.M.
• Wafa S Hanna, MD
• Britta Hansen, CRNP
• Roxanne T Harrington, LPN-PN308220
• Eric S Holender, D.O.
• Gina Marie Holmes, LCSW
• Amy L. Houm, M.D.
• John H Nicholson DO PC
• John W. Shewood, DMD, PC

• Case Manager/Care Coordinator in Palmerton, PA
• Providers in Palmerton, PA by specialty
• Case Manager/Care Coordinator in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.