Active NPI
Heidi Lynn Nielsen, DPT
- Physical Therapist
- Stanley, ND
National Provider Identifier
1437553708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1837
- Practice address
- 615 6TH St SE
Stanley, ND 58784-4444 - Phone
- (701) 628-2424
- NPI assigned
- Oct 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1837 | ND | Primary |
Addresses
Primary practice location
615 6TH St SE
Stanley, ND 58784-4444
Mailing address
615 6TH St SE
Stanley, ND 58784-4444
Phone (701) 628-2424
Other names 1
- Heidi Lynn Johnson
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519776000000",
"number": "1437553708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 6TH ST SE",
"city": "STANLEY",
"state": "ND",
"postal_code": "587844444",
"telephone_number": "701-628-2424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 6TH ST SE",
"city": "STANLEY",
"state": "ND",
"postal_code": "587844444",
"telephone_number": "701-628-2424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIELSEN",
"first_name": "HEIDI",
"middle_name": "LYNN",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-15",
"last_updated": "2018-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "1837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HEIDI",
"last_name": "JOHNSON",
"middle_name": "LYNN",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Stanley, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.