Heidi Lynette Dalhaug, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP9872 Issued in AZ

Practice address

81 W Guadalupe Rd Ste 111
Gilbert, AZ 85233-3321

Phone

(480) 366-4490

Fax

(480) 854-3618

NPI assigned

Mar 27, 2017

Last updated

Oct 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Scottsdale Physicians Group PLC

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1689799579
  Medicare reassignment NPD
• United Telehealth Corp

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1760036966
  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  AZ, Nurse Practitioner

  Medicare reassignment NPD

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1467983882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7975 N HAYDEN RD",
            "address_2": "STE D354",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583243",
            "telephone_number": "480-214-9720",
            "fax_number": "480-214-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 W GUADALUPE RD STE 111",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333321",
            "telephone_number": "480-366-4490",
            "fax_number": "480-854-3618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6130 E Brown Rd",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852054960",
            "country_code": "US",
            "telephone_number": "480-807-3554",
            "fax_number": "480-807-8330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALHAUG",
        "first_name": "HEIDI",
        "middle_name": "LYNETTE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP9872",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN183693",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "298888",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jody Lyn Dagan, OD
• Aaron J Dahl, M.D.
• Dakota Valley Healing, LLC
• Dale Schell OD PLLC
• James J Dale
• Danielle Daligdig
• Craig Kent Dalton, L.P.C.
• Faraz Damghani, MD
• Brooke Raelyn Dammen
• Tamara J Damon

• Family Nurse Practitioner in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.