Active NPI
Courtnee Renee Heyduk, MD
- Psychiatry Physician
- Sioux Falls, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2208
- Practice address
- 1400 W 22ND St
Sioux Falls, SD 57105-1554 - Phone
- (605) 322-5737
- NPI assigned
- Mar 24, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | 2208 | MN | Primary |
Addresses
Primary practice location
1400 W 22ND St
Sioux Falls, SD 57105-1554
Mailing address
1704 Main Ave S
Brookings, SD 57006-3835
Phone (605) 690-9242
Other practice location 1
300 S Bruce St
Marshall, MN 56258-1934
Phone (507) 532-9661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND, IA, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Sanford School of Medicine of University of South Dakota, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alegent Creighton Health
Practice addresses (Care Compare)
7101 Newport Ave
Omaha, NE 68152-2164
Phone (402) 572-2905
801 Harmony St
Suite 302
Council Bluffs, IA 51503-3106
Phone (712) 328-2609
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alegent Creighton Health | Psychiatry | Current | Accepting new patients |
| PSJ Acquisition LLC | Psychiatry | Current | Accepting new patients |
| Alegent Creighton Health | Current | Accepting new patients | |
| Alegent Creighton Health | Psychiatry | Current | Accepting new patients |
| PSJ Acquisition LLC | Current | Accepting new patients | |
| Avera Marshall | Current | Accepting new patients | |
| Alegent Health Bergan Mercy Health System | Past | Accepting new patients |
Locations
801 Harmony St
Ste 302
Council Bluffs, IA 51503
Phone (712) 328-2609
2771 Solution Ctr
Chicago, IL 60677
300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631
510 4th St S
Fargo, ND 58103
Phone (701) 476-7200
7101 Newport Ave
Omaha, NE 68152
Phone (402) 572-2905
7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CHI Health
- Internal Medicine Physician
- Omaha, NE
- NPI 1033288923
Psychiatry
-
dba CHI Health Psychiatric Associates
- Psychiatry Physician
- Council Bluffs, IA
- NPI 1770922437
-
dba Avera Marshall Regional Medical Center
- Critical Access Hospital
- Marshall, MN
- NPI 1568401016
-
dba Alegent Health Mercy Hospital - Psychiatric Unit
- Psychiatric Hospital Unit
- Council Bluffs, IA
- NPI 1437384799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597104000000",
"number": "1568967446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1704 MAIN AVE S",
"city": "BROOKINGS",
"state": "SD",
"postal_code": "570063835",
"telephone_number": "605-690-9242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 W 22ND ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051554",
"telephone_number": "605-322-5737"
}
],
"practiceLocations": [
{
"address_1": "300 S Bruce St",
"address_purpose": "LOCATION",
"city": "Marshall",
"state": "MN",
"postal_code": "562581934",
"country_code": "US",
"telephone_number": "507-532-9661",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEYDUK",
"first_name": "COURTNEE",
"middle_name": "RENEE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-24",
"last_updated": "2020-08-11",
"certification_date": "2020-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "2208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.