Active NPI
Heather Davidson, DNP
- Psychiatric/Mental Health Nurse Practitioner
- Kalispell, MT
National Provider Identifier
1629705017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- NUR-APRN-LIC-196833
- Practice address
- 16 3Rd St E
Kalispell, MT 59901-4573 - Phone
- (406) 219-7225
- NPI assigned
- Aug 4, 2022
- Last updated
- Mar 7, 2023
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NUR-APRN-LIC-196833 | MT | Primary |
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 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | heather@headwaterswellness.net | Direct | Headwaters Wellness PLLC |
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 |
|---|---|---|---|
| NUR-APRN-LIC-196833 | MT | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1629705017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 3RD ST E",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599014573",
"telephone_number": "406-219-7225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 3RD ST E",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599014573",
"telephone_number": "406-219-7225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "HEATHER",
"credential": "DNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-04",
"last_updated": "2023-03-07",
"certification_date": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MT",
"license": "NUR-APRN-LIC-196833",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "heather@headwaterswellness.net",
"affiliation": "Y",
"endpointDescription": "email address",
"affiliationName": "Headwaters Wellness PLLC",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "16 3rd St E",
"city": "Kalispell",
"state": "MT",
"country_code": "US",
"postal_code": "599014573",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Kalispell, MT
- David C Segerstrom PC (Montana Behavioral Health NW)
- David D. Semrau, DDS, PC
- David M Weber DDS MD PC (Kalispell Oral Surgery and Implants)
- David M Weber DDS MD PC (Kalispell Oral Surgery & Implants)
- Kelly David, LMT
- Daria Davis, PTA
- Frances Montanye Davis, OTD R/L
- Melissa Faith Davis, EMT
- Ronald V Davis, D.D.S.
- Sarah Ashley Tucker Davis, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.