Individual provider Active NPI

Heather Lanaina Momberg, DNP

  • Pediatric Nurse Practitioner
  • Bishop, CA
National Provider Identifier
1790076172
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
95040663 Issued in CA
Practice address
250 N See Vee LN
Bishop, CA 93514-8130
Phone
(760) 873-8461
Fax
(760) 873-3908
NPI assigned
Apr 20, 2011
Last updated
Jul 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 95040663 CA Primary

Addresses

Primary practice location

250 N See Vee LN
Bishop, CA 93514-8130

Mailing address

250 N See Vee LN
Bishop, CA 93514-8130
Phone (406) 450-3492

Other identifiers 1

IdentifierTypeStateIssuer
THP11576FMedicaidCA

Other names 1

  • Heather Lanaina Schildt Former name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
40077MTMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1790076172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SEE VEE LN",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935148130",
            "telephone_number": "406-450-3492",
            "fax_number": "760-873-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N SEE VEE LN",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935148130",
            "telephone_number": "760-873-8461",
            "fax_number": "760-873-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMBERG",
        "first_name": "HEATHER",
        "middle_name": "LANAINA",
        "name_prefix": "Mrs.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-20",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95040663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "THP11576F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "SCHILDT",
            "middle_name": "LANAINA",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bishop, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.