Individual provider Active NPI

Heidi Lynn Materi, ARNP

  • Family Nurse Practitioner
  • Bellingham, WA
National Provider Identifier
1851551212
Registry record updated Oct 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP 60125614 Issued in WA
Practice address
1530 Ellis St
Bellingham, WA 98225-4905
Phone
(360) 734-9095
Fax
(360) 715-8416
NPI assigned
Jun 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP 60125614 WA Primary

Addresses

Primary practice location

1530 Ellis St
Bellingham, WA 98225-4905

Mailing address

1509 Cornwall Ave
Bellingham, WA 98225-4521
Phone (360) 734-9095

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110711000569 WA Practitioner - Nurse Practitioner 0345428637 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP 60125614WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of Greater Washington and North Idaho CurrentSince Apr 10, 2011 Accepting new patients

Locations

1509 Cornwall Ave
Bellingham, WA 98225
Phone (360) 603-7708

1530 Ellis St
Bellingham, WA 98225
Phone (360) 714-1149

1805 E Division St
Mount Vernon, WA 98274
Phone (360) 428-2020

Interoperability endpoints

  • Direct secure messaging: heidi.materi.1@13077.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507766400000",
    "number": "1851551212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 CORNWALL AVE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254521",
            "telephone_number": "360-734-9095",
            "fax_number": "360-647-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 ELLIS ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254905",
            "telephone_number": "360-734-9095",
            "fax_number": "360-715-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATERI",
        "first_name": "HEIDI",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2017-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP 60125614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.