NPIMap

Individual provider Active NPI

Tina Heck, NP

  • Family Nurse Practitioner
  • Island Pond, VT
National Provider Identifier
1477958254
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101.0107042 Issued in VT
Practice address
82 Maple Street
Island Pond, VT 05846
Phone
(802) 723-4300
NPI assigned
Oct 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 101.0107042 VT Primary

Addresses

Primary practice location

82 Maple Street
Island Pond, VT 05846

Mailing address

PO Box 425 82 Maple Street
Island Pond, VT 05846
Phone (802) 723-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141223000816 VT Practitioner - Nurse Practitioner 4385967330 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
George Washington University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

714 Breezy Hill Rd
St Johnsbury, VT 05819-8882
Phone (802) 748-7500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
101.0107042VTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Vermont Regional Hospital Inc. CurrentSince Apr 15, 2024 Accepting new patients
Northeastern Vermont Regional Hospital Inc CurrentSince Apr 15, 2024 Accepting new patients
Northern Counties Health Care, Inc. CurrentSince Nov 17, 2014 Accepting new patients
Northern Counties Health Care Inc CurrentSince Nov 17, 2014 Accepting new patients
Northern Counties HLTH Care Inc Past Accepting new patients
Northeastern Vermont Regional Hospital, Inc. Past Accepting new patients
Northern Counties HLTH Care Inc Past Accepting new patients

Locations

26 Cedar Ln
Danville, VT 05828
Phone (802) 684-2275

1315 Hospital Dr
St Johnsbury, VT 05819
Phone (802) 748-3638

714 Breezy Hill Rd
St Johnsbury, VT 05819
Phone (802) 748-5126

714 Breezy Hill Rd
Ste 1
St Johnsbury, VT 05819
Phone (802) 748-7500

Organizations & group practices 7

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 7

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": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1477958254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 425 82 MAPLE STREET",
            "city": "ISLAND POND",
            "state": "VT",
            "postal_code": "05846",
            "telephone_number": "802-723-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 MAPLE STREET",
            "city": "ISLAND POND",
            "state": "VT",
            "postal_code": "05846",
            "telephone_number": "802-723-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECK",
        "first_name": "TINA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0107042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Island Pond, VT

Sources for this page

Verify at the official NPI Registry.