Active NPI
Heidi Rezendes, APRN
- Nurse Practitioner
- Fall River, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN283382
- Practice address
- 289 Pleasant St
Fall River, MA 02721-3005 - Phone
- (508) 679-6611
- NPI assigned
- Oct 19, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN283382 | MA | |
| Nurse Practitioner | 363L00000X | APRN01645 | RI | |
| Nurse Practitioner | 363L00000X | RN283382 | MA | Primary |
Addresses
Primary practice location
289 Pleasant St
Fall River, MA 02721-3005
Mailing address
289 Pleasant St
Fall River, MA 02721-3005
Other practice location 1
874 Purchase St
New Bedford, MA 02740-6232
Phone (508) 992-6553
Other practice location 2
475 Kilvert St
Warwick, RI 02886-1379
Phone (401) 737-6900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
289 Pleasant St
Suite 501
Fall River, MA 02721-3005
Phone (508) 679-6611
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN283382 | MA | MD | Registered Nurse |
| APRN01645 | RI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prima Care, PC | Current | Accepting new patients | |
| Prima Care, PC | Current | Accepting new patients |
Locations
277 Pleasant St
Fl 4
Fall River, MA 02721
Phone 50867632921244
289 Pleasant St
Fall River, MA 02721
Phone (508) 674-7779
289 Pleasant St
Ste 501
Fall River, MA 02721
Phone (508) 679-6611
67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400
Interoperability endpoints
- heidi.rezendes@prima.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Clinic/Center
- Fall River, MA
- NPI 1265422596
-
- Orthopaedic Surgery Physician
- Fall River, MA
- NPI 1194587287
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fall River, MA
- NPI 1972330165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1447503081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "289 PLEASANT ST",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027213005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "289 PLEASANT ST",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027213005",
"telephone_number": "508-679-6611"
}
],
"practiceLocations": [
{
"address_1": "874 Purchase St",
"address_purpose": "LOCATION",
"city": "New Bedford",
"state": "MA",
"postal_code": "027406232",
"country_code": "US",
"telephone_number": "508-992-6553",
"fax_number": "508-990-7558",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "475 Kilvert St",
"address_purpose": "LOCATION",
"city": "Warwick",
"state": "RI",
"postal_code": "028861379",
"country_code": "US",
"telephone_number": "401-737-6900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REZENDES",
"first_name": "HEIDI",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-19",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN283382",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "RI",
"license": "APRN01645",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN283382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.