Payton Heider, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1113810-30 Issued in WI

Practice address

8426 Stacy Dr
Fredonia, WI 53021-9643

Phone

(262) 675-4282

NPI assigned

Nov 18, 2024

Last updated

Nov 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1386469294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8426 STACY DR",
            "city": "FREDONIA",
            "state": "WI",
            "postal_code": "530219643",
            "telephone_number": "262-675-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8426 STACY DR",
            "city": "FREDONIA",
            "state": "WI",
            "postal_code": "530219643",
            "telephone_number": "262-675-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDER",
        "first_name": "PAYTON",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "1113810-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. David L. Brouillette, D.C., S.C.
• Fredonia Adult Day Center
• Megan Gavin
• Maggie A Graff, CD
• Keri Gregg, RN
• Emma Jacobs, MS, CCC-SLP
• Allison Johnson
• Melissa J Knous, OD
• Myeyedr Optometry of Wisconsin, LLC (MyEyeDr.)
• Michelle M Nave, O.D.

• Registered Nurse in Fredonia, WI
• Providers in Fredonia, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.