Individual provider Active NPI

Hailey R Heiderman, APRN

  • Family Nurse Practitioner
  • Hartselle, AL
National Provider Identifier
1396467742
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-199457 Issued in AL
Practice address
301 Pine St NW Ste B
Hartselle, AL 35640-2339
Phone
(256) 773-5469
NPI assigned
Sep 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-199457 AL Primary

Addresses

Primary practice location

301 Pine St NW Ste B
Hartselle, AL 35640-2339

Mailing address

301 Pine St NW Ste B
Hartselle, AL 35640-2339
Phone (256) 773-5469

Other names 1

  • Hailey R L'Heureux Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250107000066 AL Practitioner - Nurse Practitioner 3476929142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BSNR LLC. Hartselle Valley Family Medical CenterGroup PAC ID 9234525056, 3 clinicians

Practice addresses (Care Compare)

301 Pine St NW
Suite B
Hartselle, AL 35640-2339
Phone (256) 773-5469

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-199457ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BSNR LLC. Hartselle Valley Family Medical Center CurrentSince Oct 14, 2024 Accepting new patients

Locations

301 Pine St NW
Ste B
Hartselle, AL 35640
Phone (256) 773-5429

9044 Madison Blvd
Madison, AL 35758
Phone (256) 542-3080

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1995/brand/1/csg/1/fhir/r4
  • Direct secure messaging: hailey.heiderman.1@1995.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1396467742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 PINE ST NW STE B",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356402339",
            "telephone_number": "256-773-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 PINE ST NW STE B",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356402339",
            "telephone_number": "256-773-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDERMAN",
        "first_name": "HAILEY",
        "middle_name": "R",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-199457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAILEY",
            "last_name": "L'HEUREUX",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hartselle, AL

Sources for this page

Verify at the official NPI Registry.