Heidi Sue Blue
Individual provider Active NPI Athletic Trainer · Huron, SD
NPI 1366651283 · NPPES record last updated May 27, 2010
Key facts
- NPI
- 1366651283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 0239 (SD)
- Practice address
- 20132 409TH Ave
Huron, SD 57350-6303 - Phone
- (605) 461-9277
- NPI assigned
- May 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0239 | SD | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0239 | SD | Yes |
Addresses
Primary practice location
20132 409TH Ave
Huron, SD 57350-6303
Mailing address
20132 409TH Ave
Huron, SD 57350-6303
Phone (605) 461-9277
Other providers in Huron, SD
- Kelley Backous
- Jason Lee Barnhard
- Jessica Baum
- Mark Belyea
- Reese Alan Blacker
- Tanya Blue
- Doreen M Boomsma
- Michelle Marie Brandenburg
- Sara Braskamp
- Brenon Farmer, DDS, P.C.
All providers in Huron, SD · Athletic Trainer in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.