Active NPI
Heather Lynn Prekop
- Advanced Practice Midwife
- Hermantown, MN
National Provider Identifier
1285492702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 07482
- Practice address
- 4255 Midway Rd
Hermantown, MN 55811-3654 - Phone
- (218) 355-1715
- NPI assigned
- Mar 11, 2024
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 07482 | MN | Primary |
Addresses
Primary practice location
4255 Midway Rd
Hermantown, MN 55811-3654
Mailing address
4255 Midway Rd
Hermantown, MN 55811-3654
Phone (218) 355-1715
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07482 | MN | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1285492702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4255 MIDWAY RD",
"city": "HERMANTOWN",
"state": "MN",
"postal_code": "558113654",
"telephone_number": "218-355-1715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4255 MIDWAY RD",
"city": "HERMANTOWN",
"state": "MN",
"postal_code": "558113654",
"telephone_number": "218-355-1715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREKOP",
"first_name": "HEATHER",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-11",
"last_updated": "2024-03-11",
"certification_date": "2021-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MN",
"license": "07482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hermantown, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.