Individual provider Active NPI

Heather Norberg

  • Family Nurse Practitioner
  • Caldwell, ID
National Provider Identifier
1528810900
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
79078 Issued in ID
Practice address
1906 Fairview Ave Ste 230
Caldwell, ID 83605-5432
Phone
(208) 459-4667
Fax
(208) 459-3372
NPI assigned
Apr 1, 2024
Last updated
Sep 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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 79078 ID Primary

Addresses

Primary practice location

1906 Fairview Ave Ste 230
Caldwell, ID 83605-5432

Mailing address

PO Box 277976
Atlanta, GA 30384-7976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20240917000386 ID Practitioner - Nurse Practitioner 7315488400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Valley Medical Group LLCGroup PAC ID 8729180310, 9 clinicians

Practice addresses (Care Compare)

1906 Fairview Ave
Suite 230
Caldwell, ID 83605-5432
Phone (208) 795-5201

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
79078IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Valley Medical Group Specialty Services LLC CurrentSince Sep 8, 2024 Accepting new patients
West Valley Medical Group LLC CurrentSince Oct 14, 2024 Accepting new patients
Caldwell Internal Medicine Professional Association Past Accepting new patients

Locations

1906 Fairview Ave
Ste 230
Caldwell, ID 83605
Phone (208) 795-5201

745 S Progress Ave
Ste 120
Meridian, ID 83642
Phone (208) 795-5073

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: heather.norberg@hca3.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1528810900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277976",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303847976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 FAIRVIEW AVE STE 230",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836055432",
            "telephone_number": "208-459-4667",
            "fax_number": "208-459-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORBERG",
        "first_name": "HEATHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "79078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

Verify at the official NPI Registry.