Individual provider Active NPI

Cameron M Hiett, FNP

  • Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1770133480
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
60997735 Issued in WA
Practice address
5178 Barnstormers Ave
Colorado Springs, CO 80911-1218
Phone
(719) 799-8011
NPI assigned
Sep 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X APN.0996120-NP CO
Nurse Practitioner 363L00000X 60997735 WA Primary

Addresses

Primary practice location

5178 Barnstormers Ave
Colorado Springs, CO 80911-1218

Mailing address

5178 Barnstormers Ave
Colorado Springs, CO 80911-1218
Phone (719) 799-8011

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

LicenseStateTypeSpecialty
APN.0996120-NPCOMDNurse Practitioner
60997735WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Medical Weight Loss PastSince Oct 1, 2021 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1568419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1770133480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5178 BARNSTORMERS AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809111218",
            "telephone_number": "719-799-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5178 BARNSTORMERS AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809111218",
            "telephone_number": "719-799-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIETT",
        "first_name": "CAMERON",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-14",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0996120-NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "60997735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.