Individual provider Active NPI

Heidi Rezendes, APRN

  • Nurse Practitioner
  • Fall River, MA
National Provider Identifier
1447503081
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN283382 Issued in MA
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

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200204000920 MA Practitioner - Nurse Practitioner 2860768801 Reassigns benefits to 1 organization

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
Prima Care, PCGroup PAC ID 2567356017, 222 clinicians

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

LicenseStateTypeSpecialty
RN283382MAMDRegistered Nurse
APRN01645RIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prima Care, PC CurrentSince Jan 1, 2020 Accepting new patients
Prima Care, PC CurrentSince Jan 1, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.