Active NPI
Heather Nicole Karen Anderson, OTD, OTR/L
- Occupational Therapist
- Oak Creek, CO
National Provider Identifier
1376196204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1427986-4201
- Practice address
- 23035 Schussmark TRL Unit B
Oak Creek, CO 80467-9661 - Phone
- (919) 523-0600
- NPI assigned
- Jul 19, 2019
- Last updated
- Jul 17, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1427986-4201 | UT | Primary |
| Pediatric Occupational Therapist | 225XP0200X | OT.0006065 | CO |
Addresses
Primary practice location
23035 Schussmark TRL Unit B
Oak Creek, CO 80467-9661
Mailing address
PO Box 30180
Salt Lake City, UT 84130-0180
Other practice location 1
3845 W 4700 S
West Valley City, UT 84129-3454
Phone (801) 840-4360
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRReguest_Service | Other | Bluemark LLC / Office Ally |
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 |
|---|---|---|---|
| OT.0006065 | CO | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784246400000",
"number": "1376196204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30180",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841300180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23035 SCHUSSMARK TRL UNIT B",
"city": "OAK CREEK",
"state": "CO",
"postal_code": "804679661",
"telephone_number": "919-523-0600"
}
],
"practiceLocations": [
{
"address_1": "3845 W 4700 S",
"address_purpose": "LOCATION",
"city": "West Valley City",
"state": "UT",
"postal_code": "841293454",
"country_code": "US",
"telephone_number": "801-840-4360",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "HEATHER",
"middle_name": "NICOLE KAREN",
"name_prefix": "Dr.",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-19",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "UT",
"license": "1427986-4201",
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CO",
"license": "OT.0006065",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRReguest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.3",
"affiliationName": "Bluemark LLC / Office Ally",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "1300 SE Cardinal Ct Ste 190",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986839683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oak Creek, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.