Active NPI
Heather Marie Coots
- Nurse Practitioner
- Rockford, MI
National Provider Identifier
1316404148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704320566
- Practice address
- 6050 Northland Dr NE Ste 200
Rockford, MI 49341-9257 - Phone
- (616) 685-7985
- NPI assigned
- Feb 28, 2019
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704320566 | MI | Primary |
Addresses
Primary practice location
6050 Northland Dr NE Ste 200
Rockford, MI 49341-9257
Mailing address
1900 44TH St SE
Kentwood, MI 49508-5008
Other names 1
- Heather Marie Bengs
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Health Saint Mary'S Medical Group | Nurse Practitioner | Current | Accepting new patients |
| Advantage Health/Saint Mary'S Medical Group | Current | Accepting new patients | |
| Privamd Physicians PLLC | Nurse Practitioner | Current | Accepting new patients |
Locations
10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850
16986 Robbins Rd
Ste 180
Grand Haven, MI 49417
Phone (616) 213-0253
6050 Northland Dr NE
Ste 200
Rockford, MI 49341
Phone (616) 685-8350
622 E Savidge St
Spring Lake, MI 49456
Phone (616) 213-0253
Interoperability endpoints
- heather.coots.1@23814.direct.athenahealth.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 and National Provider Directory roles.
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-
- Orthopaedic Surgery Physician
- Byron Center, MI
- NPI 1003515008
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551312000000",
"number": "1316404148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 44TH ST SE",
"city": "KENTWOOD",
"state": "MI",
"postal_code": "495085008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6050 NORTHLAND DR NE STE 200",
"city": "ROCKFORD",
"state": "MI",
"postal_code": "493419257",
"telephone_number": "616-685-7985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOTS",
"first_name": "HEATHER",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-28",
"last_updated": "2019-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704320566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "BENGS",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Rockford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.