Heather Hildebrant, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

906977 Issued in MS

Practice address

5600 Goodman Rd
Olive Branch, MS 38654-7002

Phone

(662) 890-7010

Fax

(662) 890-7044

NPI assigned

Oct 14, 2024

Last updated

Apr 4, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pure Light Psychiatry LLCGroup PAC ID 4789019365, 2 clinicians

Practice addresses (Care Compare)

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.

• Pure Light Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Olive Branch, MS
  • NPI 1932742988
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1477373512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 GOODMAN RD STE B",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386547002",
            "telephone_number": "662-890-7010",
            "fax_number": "662-890-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 GOODMAN RD",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386547002",
            "telephone_number": "662-890-7010",
            "fax_number": "662-890-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILDEBRANT",
        "first_name": "HEATHER",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-14",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "906977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Chiropractic Clinic PLLC
• Brian Keith Henry, D.C.
• Julie Tremor Hicks, M.D.
• Kerry Hicks, NP
• Milejah Diane Higgins, PHARMD
• Daniel Hill
• Brooke Hinds
• Connie Jean Hodge, FNP-BC, PMHNP-BC
• Kayla Bree Hodge, AGACNP-BC
• Travis Dale Hodgson, PTA

• Psychiatric/Mental Health Nurse Practitioner in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.

Verify at the official NPI Registry.