Active NPI
Dreana Heidenreich
- Podiatric Assistant
- Grand Blanc, MI
National Provider Identifier
1780577254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatric Assistant
- License
- 5951001585
- Practice address
- 1 Genesys Pkwy
Grand Blanc, MI 48439-8065 - Phone
- (810) 606-5987
- NPI assigned
- Jun 2, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Podiatric Assistant | 211D00000X | 5951001585 | Primary |
Addresses
Primary practice location
1 Genesys Pkwy
Grand Blanc, MI 48439-8065
Mailing address
319 Fairlawn Dr
Round Lake Park, IL 60073-3114
Phone (815) 541-9453
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250816000163 | MI | Order and Referring Only - Podiatry | 9133628183 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748822400000",
"number": "1780577254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 FAIRLAWN DR",
"city": "ROUND LAKE PARK",
"state": "IL",
"postal_code": "600733114",
"telephone_number": "815-541-9453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GENESYS PKWY",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484398065",
"telephone_number": "810-606-5987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIDENREICH",
"first_name": "DREANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-02",
"last_updated": "2025-06-02",
"certification_date": "2025-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "211D00000X",
"taxonomy_group": "",
"desc": "Assistant, Podiatric",
"state": null,
"license": "5951001585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Blanc, MI
- Horace R Haynes Jr., DO
- Healing You Whole Wellness LLC
- Health Park Medical Practice PC
- Heather Wright M.D., P.C. (Heather Wright M.D.)
- Ravi G Hedni, M.D.
- Robyn Heiler
- Leona Heinrich
- Help to Seniors, Inc. (Suncare Rehabilitation Associates, Inc.)
- Helping Hand Autism Services LLC
- Helping Hand Nursing Service Home Health Care, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.