Megan Vander Heide

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP61549106 Issued in WA

Practice address

1911 Cooks Hill Rd
Centralia, WA 98531-9073

Phone

(360) 736-6778

NPI assigned

Jul 27, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• N W Pediatric Center Inc P S

  • Pediatrics Physician
  • Chehalis, WA
  • NPI 1477789956
  NPD (past)
• N W Pediatric Center Inc P S

  dba Northwest Pediatric Center

  • Pediatrics Physician
  • Centralia, WA
  • NPI 1518034180
  NPD (past)

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1831825272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 COOKS HILL RD",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985319073",
            "telephone_number": "360-736-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 COOKS HILL RD",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985319073",
            "telephone_number": "360-736-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER HEIDE",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "WA",
            "license": "RN60709895",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WA",
            "license": "AP61549106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Turner
• Twin City Foundations Counseling LLC
• Robert Charles Ullerich
• Daniel Vallin
• Linda Marie Van Puymbrouck
• Steven Vander Heide, BSN, RN
• Caleb N Vanderhoof
• Lizzette Guadalupe Vargas
• Angelina Francisca Velasquez
• Tonja Evonne Vernon, CDPT

• Pediatric Nurse Practitioner in Centralia, WA
• Providers in Centralia, WA by specialty
• Pediatric Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.