Individual provider Active NPI

Heather Heiter

  • Family Medicine Physician
  • Logan, UT
National Provider Identifier
1669151817
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10371149-4405 Issued in UT
Practice address
1031 Rose St
Logan, UT 84341-2802
Phone
(435) 232-5958
NPI assigned
Jul 14, 2023
Last updated
Jul 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10371149-4405 UT Primary

Addresses

Primary practice location

1031 Rose St
Logan, UT 84341-2802

Mailing address

1031 Rose St
Logan, UT 84341-2802
Phone (435) 232-5958

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, CA, MS3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230802003847 UT Practitioner - Nurse Practitioner 3274994553 Reassigns benefits to 1 organization
I20240724001975 CA Practitioner - Nurse Practitioner 3274994553 Reassigns benefits to 2 organizations
I20250314001445 MS Practitioner - Nurse Practitioner 3274994553 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Healthcare of California CurrentSince Jul 9, 2024 Accepting new patients
Universal Care CurrentSince Oct 31, 2024 Accepting new patients
Central Health Plan of California, Inc. CurrentSince Oct 31, 2024 Accepting new patients
Molina Care Connections, LLC. CurrentSince Mar 5, 2025 Accepting new patients
Molina Healthcare of Utah Inc CurrentSince Jul 31, 2023 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

188 E Capitol St
Ste 700
Jackson, MS 39201
Phone (844) 809-8438

7050 S Union Park Ave
Ste 200
Midvale, UT 84047
Phone (562) 549-3966

Interoperability endpoints

  • Direct secure messaging: hheiter14994@direct-prd.molinahealthcare.com
  • FHIR API: https://epicproxy.et1057.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1669151817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 ROSE ST",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412802",
            "telephone_number": "435-232-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 ROSE ST",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412802",
            "telephone_number": "435-232-5958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEITER",
        "first_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "10371149-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

Verify at the official NPI Registry.