Shelley Heijerman, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704303276 Issued in MI

Practice address

12851 W M 179 Hwy
Wayland, MI 49348-9318

Phone

(877) 377-7322

NPI assigned

May 17, 2011

Last updated

Jul 29, 2016By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469750400000",
    "number": "1760775274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12851 W M 179 HWY",
            "city": "WAYLAND",
            "state": "MI",
            "postal_code": "493489318",
            "telephone_number": "877-377-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIJERMAN",
        "first_name": "SHELLEY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-17",
        "last_updated": "2016-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A-103707",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP000665",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704303276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Lynn Hausman, PTA
• Lawrence S Hawkins, M.D.
• Amelia Carol Hayes, OTR/L
• Erin Hazel, RD
• Kirstin Gail Heft, OTR
• Kaitlin Elizabeth Henley, PA-C
• Carrie Hine
• Keith Michael Hintz, PTA
• Alexander Thomas Hoelzel, DDS
• Ronald Angelo House II, DC

• Family Nurse Practitioner in Wayland, MI
• Providers in Wayland, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; 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.