Active NPI
Heather Hart, PA
- Medical Physician Assistant
- Bozeman, MT
National Provider Identifier
1801804497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 931 Highland Blvd Ste 3220
Bozeman, MT 59715-6912 - Phone
- (406) 522-2400
- NPI assigned
- Aug 3, 2006
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
931 Highland Blvd Ste 3220
Bozeman, MT 59715-6912
Mailing address
937 Highland Blvd
Ste 5410
Bozeman, MT 59715-6916
Phone (406) 522-2400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00218201 | Other | MEDICARE RAILROAD | |
| 000094033 | Other | MT | BLUE CROSS OF MT |
| 4305210 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050201000300 | MT | Practitioner - Physician Assistant | 0547210130 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 155 | MT | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537142400000",
"number": "1801804497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "937 HIGHLAND BLVD",
"address_2": "STE 5410",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597156916",
"telephone_number": "406-522-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "931 HIGHLAND BLVD STE 3220",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597156912",
"telephone_number": "406-522-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "HEATHER",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2018-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00218201",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF MT",
"identifier": "000094033",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4305210",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; 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.