Active NPI
Heather Reane Rundgren, RNFA
- Registered Nurse First Assistant
- Simi Valley, CA
National Provider Identifier
1407616782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- 95777221
- Practice address
- 2975 Sycamore Dr
Simi Valley, CA 93065-1201 - Phone
- (805) 955-6250
- NPI assigned
- Mar 21, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | 95777221 | CA | Primary |
Addresses
Primary practice location
2975 Sycamore Dr
Simi Valley, CA 93065-1201
Mailing address
2840 Zapata CT
Simi Valley, CA 93063-1756
Phone (805) 791-5390
Other names 1
- Heather Reane Schimmel
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 |
|---|---|---|---|
| 95777221 | CA | MD | Registered Nurse First Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1407616782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2840 ZAPATA CT",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930631756",
"telephone_number": "805-791-5390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2975 SYCAMORE DR",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930651201",
"telephone_number": "805-955-6250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUNDGREN",
"first_name": "HEATHER",
"middle_name": "REANE",
"credential": "RNFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-21",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "CA",
"license": "95777221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "SCHIMMEL",
"middle_name": "REANE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.