Active NPI
Gwendolyn Irene Heser
- Registered Nurse
- Crow Agency, MT
National Provider Identifier
1528833753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 44018
- Practice address
- 10131 S Heritage Rd
Crow Agency, MT 59022-7091 - Phone
- (406) 638-9111
- NPI assigned
- Nov 17, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 44018 | WY | Primary |
Addresses
Primary practice location
10131 S Heritage Rd
Crow Agency, MT 59022-7091
Mailing address
PO Box 77
Parkman, WY 82838-0077
Phone (307) 752-0396
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44018 | WY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Awe Kualawaache Care Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Skilled Nursing Facility
- Crow Agency, MT
- NPI 1205926128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700179200000",
"number": "1528833753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 77",
"city": "PARKMAN",
"state": "WY",
"postal_code": "828380077",
"telephone_number": "307-752-0396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10131 S HERITAGE RD",
"city": "CROW AGENCY",
"state": "MT",
"postal_code": "590227091",
"telephone_number": "406-638-9111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HESER",
"first_name": "GWENDOLYN",
"middle_name": "IRENE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-17",
"last_updated": "2023-11-17",
"certification_date": "2023-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WY",
"license": "44018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crow Agency, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.