Active NPI
Heidi M Cohen, PNP
- Pediatric Nurse Practitioner
- Austin, TX
National Provider Identifier
1831442722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP122499
- Practice address
- 7112 Ed Bluestein Blvd Ste 100
Austin, TX 78723-2913 - Phone
- (512) 744-6000
- Fax
- (512) 583-5462
- NPI assigned
- Oct 17, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 688656 | TX | |
| Pediatric Nurse Practitioner | 363LP0200X | AP122499 | TX | Primary |
Addresses
Primary practice location
7112 Ed Bluestein Blvd Ste 100
Austin, TX 78723-2913
Mailing address
7112 Ed Bluestein Blvd Ste 100
Austin, TX 78723-2913
Phone (512) 744-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 309377501 | Medicaid | TX |
Other names 1
- Heidi M Newton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20200326003047 | TX | Order and Referring Only - Nurse Practitioner | 8628228509 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 688656 | TX | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582070400000",
"number": "1831442722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7112 ED BLUESTEIN BLVD STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787232913",
"telephone_number": "512-744-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7112 ED BLUESTEIN BLVD STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787232913",
"telephone_number": "512-744-6000",
"fax_number": "512-583-5462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "HEIDI",
"middle_name": "M",
"credential": "PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-17",
"last_updated": "2020-02-19",
"certification_date": "2020-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "688656",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "AP122499",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "309377501",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HEIDI",
"last_name": "NEWTON",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.