Active NPI
Laura Heiden
- Acute Care Nurse Practitioner
- Wausau, WI
National Provider Identifier
1386544112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 19354-33
- Practice address
- 333 Pine Ridge Blvd
Wausau, WI 54401-4187 - Phone
- (715) 847-2121
- Fax
- (715) 847-0095
- NPI assigned
- Nov 5, 2026
- Last updated
- Nov 5, 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 19354-33 | WI | |
| Acute Care Nurse Practitioner | 363LA2100X | 19354-33 | WI | Primary |
Addresses
Primary practice location
333 Pine Ridge Blvd
Wausau, WI 54401-4187
Mailing address
N56W18346 Evergreen LN
Menomonee Falls, WI 53051-5540
Phone (262) 305-3817
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1793836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1793836800000",
"number": "1386544112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N56W18346 EVERGREEN LN",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530515540",
"telephone_number": "262-305-3817",
"fax_number": "715-847-0095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 PINE RIDGE BLVD",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544014187",
"telephone_number": "715-847-2121",
"fax_number": "715-847-0095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIDEN",
"first_name": "LAURA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-11-05",
"last_updated": "2026-11-05",
"certification_date": "2026-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "WI",
"license": "19354-33",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "WI",
"license": "19354-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wausau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.