Heidi Pardue, P.T.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

0012471 Issued in CO

Practice address

3191 Noble CT
Boulder, CO 80301-6209

Phone

(410) 746-0673

NPI assigned

Nov 17, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1508308826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3191 NOBLE CT",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803016209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3191 NOBLE CT",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803016209",
            "telephone_number": "410-746-0673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARDUE",
        "first_name": "HEIDI",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-17",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": "0012471",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "0012471",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CO",
            "license": "0012471",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "0012471",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paradigm Recovery LLC
• Paradigm Recovery, LLC
• Angela C Paras, MSW
• Kelly Jacobs Parcell, ND
• Stephen Wesley Parcell, ND
• Lucinda Holmes Parham, MSPT
• Daniel Antonio Pariente
• Lyndee Lee Paris, M.D.
• Erica Parise, PT, DPT
• Georgia Rose Park

• Home Health Agency in Boulder, CO
• Providers in Boulder, CO by specialty
• Home Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.