Individual provider Active NPI

Heather M. Herman, NP

  • Nurse Practitioner
  • West Jefferson, NC
National Provider Identifier
1295892933
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5002521 Issued in NC
Practice address
17 East Buck Mountain Rd
Unit a
West Jefferson, NC 28694-2869
Phone
(336) 290-1396
Fax
(877) 349-8775
NPI assigned
Jan 2, 2007
Last updated
Oct 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0050-02521 NC
Nurse Practitioner 363L00000X 5002521 NC Primary

Addresses

Primary practice location

17 East Buck Mountain Rd
Unit a
West Jefferson, NC 28694-2869

Mailing address

244 Beaver Creek Estate Way
West Jefferson, NC 28694-9383
Phone (336) 290-1396

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0050-02521NCMDFamily Medicine Physician
5002521NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Joy Spring Maternal Mental Health CurrentSince Dec 29, 2024 Accepting new patients
Wellmood PLLC PastSince Jan 1, 2024 Accepting new patients
Watauga Lake Family Medicine PC Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: heather.herman@org92.direct.charmhealth.com

Organizations & group practices 3

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1295892933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 BEAVER CREEK ESTATE WAY",
            "city": "WEST JEFFERSON",
            "state": "NC",
            "postal_code": "286949383",
            "telephone_number": "336-290-1396",
            "fax_number": "877-349-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 EAST BUCK MOUNTAIN RD",
            "address_2": "UNIT A",
            "city": "WEST JEFFERSON",
            "state": "NC",
            "postal_code": "286942869",
            "telephone_number": "336-290-1396",
            "fax_number": "877-349-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "HEATHER",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "0050-02521",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5002521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jefferson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.