Active NPI
Heather Jane Herrick, MS, OTR, ETS
- Occupational Therapist
- Grand Rapids, MI
National Provider Identifier
1619021326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 213862
- Practice address
- 3351 Eagle Run Dr NE Ste C
Grand Rapids, MI 49525-7070 - Phone
- (616) 365-8920
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 213862 | MI | Primary |
Addresses
Primary practice location
3351 Eagle Run Dr NE Ste C
Grand Rapids, MI 49525-7070
Mailing address
3351 Eagle Run Dr NE Ste C
Grand Rapids, MI 49525-7070
Phone (616) 365-8920
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 213862 | MI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Resources and Institute for Neuropsychological Services | Occupational Therapist | 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.
-
- Physical Therapist
- Grand Rapids, MI
- NPI 1467724518
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215993600000",
"number": "1619021326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3351 EAGLE RUN DR NE STE C",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495257070",
"telephone_number": "616-365-8920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3351 EAGLE RUN DR NE STE C",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495257070",
"telephone_number": "616-365-8920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRICK",
"first_name": "HEATHER",
"middle_name": "JANE",
"credential": "MS, OTR, ETS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2008-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "213862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.