Heather Davidson, DNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Kalispell, MT
NPI 1629705017 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1629705017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- NUR-APRN-LIC-196833 (MT)
- Practice address
- 16 3Rd St E
Kalispell, MT 59901-4573 - Phone
- (406) 219-7225
- NPI assigned
- Aug 4, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NUR-APRN-LIC-196833 | MT | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NUR-APRN-LIC-196833 | MT | Yes |
Addresses
Primary practice location
16 3Rd St E
Kalispell, MT 59901-4573
Mailing address
16 3Rd St E
Kalispell, MT 59901-4573
Phone (406) 219-7225
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | heather@headwaterswellness.net | Direct | Headwaters Wellness PLLC |
Other providers in Kalispell, MT
- Joshua James Daugherty
- David C Segerstrom PC
- David D. Semrau, DDS, PC
- David M Weber DDS MD PC
- David M Weber DDS MD PC
- Daria Davis
- Frances Montanye Davis
- Melissa Faith Davis
- Ronald V Davis
- Sarah Ashley Tucker Davis
All providers in Kalispell, MT · Psychiatric/Mental Health Nurse Practitioner in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.