Heidi Petts, RN

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

235370 Issued in WI

Practice address

8444 N 90TH St Ste 100
Scottsdale, AZ 85258-4437

Phone

(920) 926-0101

NPI assigned

Jun 1, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Heidi Vandeslunt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1619616323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 W SCOTT ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549352342",
            "telephone_number": "920-926-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8444 N 90TH ST STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584437",
            "telephone_number": "920-926-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTS",
        "first_name": "HEIDI",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "235370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "VANDESLUNT",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Arkady Petrosyan, MAS-MFT, LMFT
• Juliana Petrovic
• Lorene Marie Petta, PSY.D.
• Adrienne B Pettit, D.O.
• Carolyn K Pettit, MD
• Joe D Petty III
• Revi D Pexa, PA-C
• Alissia Marguerite Pfeiffer, NMD
• Nicholaus C Pfeiffer, MD
• Fariba Khatabi Pfitzner, M.D

• Addiction (Substance Use Disorder) Registered Nurse in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.