Individual provider Active NPI

Heidi Lynn Vermeer-Quist, PSYD

  • Psychologist
  • Urbandale, IA
National Provider Identifier
1841236841
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
00965 Issued in IA
Practice address
6200 Aurora Ave
Ste 302W
Urbandale, IA 50322-2800
Phone
(515) 331-0303
Fax
(515) 331-9086
NPI assigned
Jun 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 00965 IA Primary

Addresses

Primary practice location

6200 Aurora Ave
Ste 302W
Urbandale, IA 50322-2800

Mailing address

2611 Washington Street
Pella, IA 50219
Phone (641) 628-9599

Other names 1

  • Heidi Lynn Quist Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040621001268 IA Practitioner - Clinical Psychologist 0446235881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3737 Woodland Ave
Suite 300
West Des Moines, IA 50266-1929
Phone (515) 225-4006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00965IAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vermeer Quist Consulting, LLC CurrentSince Nov 21, 2012 Accepting new patients
New Life Counseling PC Past Accepting new patients

Locations

2611 Washington St
Pella, IA 50219
Phone (641) 628-9599

6200 Aurora Ave
Ste 401E
Urbandale, IA 50322
Phone (515) 331-0303

1701 48th St
Ste 120
West Des Moines, IA 50266
Phone (515) 224-1474

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841236841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 WASHINGTON STREET",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "50219",
            "telephone_number": "641-628-9599",
            "fax_number": "641-621-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 AURORA AVE",
            "address_2": "STE 302W",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503222800",
            "telephone_number": "515-331-0303",
            "fax_number": "515-331-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMEER-QUIST",
        "first_name": "HEIDI",
        "middle_name": "LYNN",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IA",
            "license": "00965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "QUIST",
            "middle_name": "LYNN",
            "credential": "PSYD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Urbandale, IA

Sources for this page

Verify at the official NPI Registry.