Active NPI
Heather Reidy
- Developmental Therapist
- Vinalhaven, ME
National Provider Identifier
1649414848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- 399432
- Practice address
- 29 Roberts Cemetery Rd
Vinalhaven, ME 04863 - Phone
- (207) 863-9314
- NPI assigned
- May 1, 2009
- 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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | 399432 | ME | Primary |
Addresses
Primary practice location
29 Roberts Cemetery Rd
Vinalhaven, ME 04863
Mailing address
144 E Boston Rd
Vinalhaven, ME 04863-4006
Phone (207) 863-2031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 432281100 | Other | ME | MAINECARE |
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 |
|---|---|---|---|
| 399432 | ME | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241136000000",
"number": "1649414848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 E BOSTON RD",
"city": "VINALHAVEN",
"state": "ME",
"postal_code": "048634006",
"telephone_number": "207-863-2031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 ROBERTS CEMETERY RD",
"city": "VINALHAVEN",
"state": "ME",
"postal_code": "04863",
"telephone_number": "207-863-9314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIDY",
"first_name": "HEATHER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-01",
"last_updated": "2009-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "ME",
"license": "399432",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAINECARE",
"identifier": "432281100",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vinalhaven, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.