Individual provider Active NPI

Heather Marie Blondin, DO

  • Psychiatry Physician
  • Henderson, NV
National Provider Identifier
1346743184
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DO3127 Issued in NV
Practice address
2831 Saint Rose Pkwy Ste 200
Henderson, NV 89052-4841
Phone
(702) 329-0286
Fax
(702) 991-3533
NPI assigned
Mar 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 336462 NY
Psychiatry Physician 2084P0800X DO3127 NV Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2831 Saint Rose Pkwy Ste 200
Henderson, NV 89052-4841

Mailing address

2831 Saint Rose Pkwy Ste 200
Henderson, NV 89052-4841
Phone (702) 329-0286

Other names 1

  • Heather Marie Hanke Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, NY, MI, NJ, DC, CA6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20250318003300 NV Practitioner - Psychiatry 8527316736 Reassigns benefits to 1 organization
I20250724002266 NY Practitioner - Osteopathic Manipulative Medicine 8527316736 Reassigns benefits to 1 organization
I20250728001100 MI Practitioner - Psychiatry 8527316736 Reassigns benefits to 1 organization
I20250729003518 NJ Practitioner - Osteopathic Manipulative Medicine 8527316736 Reassigns benefits to 1 organization
I20250729003973 DC Practitioner - Osteopathic Manipulative Medicine 8527316736 Reassigns benefits to 1 organization
I20250801001072 CA Practitioner - Osteopathic Manipulative Medicine 8527316736 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
State of Nevada CurrentSince Feb 18, 2025 Accepting new patients
Grow Healthcare Group of New Jersey PC Psychiatry CurrentSince Jun 28, 2025 Accepting new patients
Grow Healthcare Group PC Psychiatry CurrentSince Jun 28, 2025 Accepting new patients
Grow Healthcare Group PA Psychiatry CurrentSince Jun 25, 2025 Accepting new patients
State of Nevada Current Accepting new patients
Southern Nevada Adult Mental Health CurrentSince Feb 18, 2025 Accepting new patients
Unlv Medicine Past Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

4150 Technology Way
Ste 100
Carson City, NV 89706

1909 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 471-0420

6161 W Charleston Blvd
Las Vegas, NV 89146
Phone (702) 486-4400

3753 Howard Hughes Pkwy
Ste 200
Las Vegas, NV 89169
Phone (702) 919-6580

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1346743184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 SAINT ROSE PKWY STE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524841",
            "telephone_number": "702-329-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 SAINT ROSE PKWY STE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524841",
            "telephone_number": "702-329-0286",
            "fax_number": "702-991-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLONDIN",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-16",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "336462",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "DO3127",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "HANKE",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.