Active NPI
Heidi Renae Sequeira, CNP
- Family Nurse Practitioner
- Ashburn, VA
National Provider Identifier
1841422151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R-165141-6
- Practice address
- 21785 Filigree CT
Suite 100
Ashburn, VA 20147 - Phone
- (703) 554-1100
- NPI assigned
- Aug 20, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | R-165141-6 | MN | |
| Family Nurse Practitioner | 363LF0000X | R-165141-6 | MN | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | R-16141-6 | MN |
Addresses
Primary practice location
21785 Filigree CT
Suite 100
Ashburn, VA 20147
Mailing address
1536 Hewitt Ave
Ms C1908
Saint Paul, MN 55104-1205
Phone (651) 523-2204
Other names 1
- Heidi Renae Faul
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)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-165141-6 | MN | MD | Acute Care Nurse Practitioner |
| R-16141-6 | MN | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397606400000",
"number": "1841422151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1536 HEWITT AVE",
"address_2": "MS C1908",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551041205",
"telephone_number": "651-523-2204",
"fax_number": "651-523-2820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21785 FILIGREE CT",
"address_2": "SUITE 100",
"city": "ASHBURN",
"state": "VA",
"postal_code": "20147",
"telephone_number": "703-554-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEQUEIRA",
"first_name": "HEIDI",
"middle_name": "RENAE",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-20",
"last_updated": "2014-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MN",
"license": "R-165141-6",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "R-165141-6",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MN",
"license": "R-16141-6",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HEIDI",
"last_name": "FAUL",
"middle_name": "RENAE",
"credential": "CNP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Ashburn, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.