Heidi Cullen, RN

Primary specialty

Rehabilitation Registered NurseTaxonomy code 163WR0400X

License

713932 Issued in TX

Practice address

26229 N Cranes Mill Rd
Canyon Lake, TX 78133-1957

Phone

(830) 214-1559

Fax

(830) 935-2837

NPI assigned

Apr 22, 2021

Last updated

Apr 22, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Windmill Wellness Ranch LLC

  • Substance Abuse Rehabilitation Facility
  • Canyon Lake, TX
  • NPI 1063943041
  NPD (past)

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1679155329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26229 N CRANES MILL RD",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "781331957",
            "telephone_number": "830-214-1559",
            "fax_number": "830-935-2837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26229 N CRANES MILL RD",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "781331957",
            "telephone_number": "830-214-1559",
            "fax_number": "830-935-2837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLEN",
        "first_name": "HEIDI",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Rehabilitation",
            "state": "TX",
            "license": "713932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Canyon Lake Senior Home Care Inc. (Canyon Lake Senior Home Care)
• Camille Mari Coffey, LPC
• Christy Cole, LVN
• Comal County Emergency Services District 2
• Comal Vista Home Care, LLC
• CVS Pharmacy Inc (CVS Pharmacy #10403)
• Joyce R Dannehy, LPC
• Lisa M Davidson, LCDC12318
• Emily Elaine Dekoch, EP
• Chelsea Alline Denmark, RBT

• Rehabilitation Registered Nurse in Canyon Lake, TX
• Providers in Canyon Lake, TX by specialty
• Rehabilitation Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.