Individual provider Active NPI

Heather Marie Kierstead, CNM, WHNP

  • Family Nurse Practitioner
  • Brattleboro, VT
National Provider Identifier
1265785174
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101.0098996 Issued in VT
Practice address
21 Belmont Ave
Brattleboro, VT 05301-7110
Phone
(802) 258-3905
Fax
(802) 258-4903
NPI assigned
Oct 17, 2012
Last updated
Jul 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 101.0098996 VT Primary
Advanced Practice Midwife 367A00000X 078857-23 NH
Advanced Practice Midwife 367A00000X 101.0098996 VT

Addresses

Primary practice location

21 Belmont Ave
Brattleboro, VT 05301-7110

Mailing address

600 Blair Park Rd Ste 285
Williston, VT 05495-7855
Phone (802) 288-1140

Other identifiers 4

IdentifierTypeStateIssuer
1022913MedicaidVT
3094482MedicaidNH
078857-23OtherNHSTATE LICENSE - APRN
101.0098996OtherVTSTATE LICENSE - APRN

Other names 1

  • Heather Ferreira Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NH3 enrollments
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.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140325002137 VT Practitioner - Certified Nurse Midwife (CNM) 5890948533
I20181231000394 NH Practitioner - Certified Nurse Midwife (CNM) 5890948533 Reassigns benefits to 1 organization
I20260406002034 VT Practitioner - Nurse Practitioner 5890948533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Ohio State University College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

600 Blair Park Rd
Williston, VT 05495-7586

600 Blair Park Rd
Suite 285
Williston, VT 05495-7529

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
101.0098996VTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brattleboro Memorial Hospital CurrentSince Jan 1, 2014 Accepting new patients
Tae Sik Choi MD PC CurrentSince Dec 31, 2012 Accepting new patients
Primary Care Health Partners - New York LLP PastSince Jul 2, 2023 Accepting new patients
Primary Care Health Partners - Vermont LLP PastSince Jul 2, 2023 Accepting new patients
David P.Gorman, MD PC PastSince Dec 31, 2012 Accepting new patients
Diabetes and Lifestyle Management, LLC Family PastSince Feb 1, 2022 Accepting new patients

Locations

209 W Main St
Malone, NY 12953
Phone (518) 483-1015

22 Center St
Massena, NY 13662
Phone (315) 764-0265

17 Belmont Ave
Brattleboro, VT 05301
Phone (802) 257-8360

21 Belmont Ave
Ste 1
Brattleboro, VT 05301
Phone (802) 251-8455

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d9dc001d-1bc5-42f9-bd4d-eb79208fd32a/

Organizations & group practices 7

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": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1265785174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BLAIR PARK RD STE 285",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957855",
            "telephone_number": "802-288-1140",
            "fax_number": "802-288-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BELMONT AVE",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053017110",
            "telephone_number": "802-258-3905",
            "fax_number": "802-258-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIERSTEAD",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "credential": "CNM, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-17",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0098996",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NH",
            "license": "078857-23",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VT",
            "license": "101.0098996",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022913",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3094482",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE - APRN",
            "identifier": "078857-23",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE - APRN",
            "identifier": "101.0098996",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "FERREIRA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brattleboro, VT

Sources for this page

Verify at the official NPI Registry.