Individual provider Active NPI

Heidi Reid Rethman, FNP-BC

  • Family Nurse Practitioner
  • Saginaw, MI
National Provider Identifier
1861839649
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704155237 Issued in MI
Practice address
2429 Trautner Dr
Saginaw, MI 48604-9596
Phone
(989) 790-3697
Fax
(989) 790-5035
NPI assigned
Jun 3, 2013
Last updated
Jun 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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 4704155237 MI Primary

Addresses

Primary practice location

2429 Trautner Dr
Saginaw, MI 48604-9596

Mailing address

2429 Trautner Dr
Saginaw, MI 48604-9596
Phone (989) 790-3697

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20140403000885 MI Practitioner - Nurse Practitioner 6800028994 Reassigns benefits to 6 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tuscola County Community Mental Health Services Board CurrentSince Apr 19, 2017 Accepting new patients
Caro Health Plaza PLC CurrentSince Aug 1, 2015 Accepting new patients
Caro Health Plaza PLC Family CurrentSince Aug 1, 2015 Accepting new patients
Saginaw Valley Walk in Clinic, PLLC CurrentSince Aug 1, 2015 Accepting new patients
Mohamed Ally Health Plaza PLLC CurrentSince Dec 19, 2016 Accepting new patients
Caro Express Clinic PLC CurrentSince Mar 22, 2024 Accepting new patients
Covenant Medical Center, Inc PastSince Apr 9, 2018 Accepting new patients

Locations

1332 Prospect Ave
Caro, MI 48723
Phone (989) 673-6191

1525 W Caro Rd
Caro, MI 48723
Phone (989) 672-2100

1525 W Caro Rd
Ste A
Caro, MI 48723
Phone (989) 672-2100

323 N State St
Caro, MI 48723
Phone (989) 673-6191

2425 Austins Pkwy
Ste 1
Flint, MI 48507
Phone (810) 238-8889

387 N State Rd
Ste A
Otisville, MI 48463
Phone (810) 631-4060

387 N State Rd
Ste B
Otisville, MI 48463
Phone (810) 631-0355

3020 Boardwalk Dr
Saginaw, MI 48603
Phone (989) 791-3852

Interoperability endpoints

  • Direct secure messaging: heidi.rethman.1@20296.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15223/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/20296/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370217600000",
    "number": "1861839649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2429 TRAUTNER DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486049596",
            "telephone_number": "989-790-3697",
            "fax_number": "989-790-5035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2429 TRAUTNER DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486049596",
            "telephone_number": "989-790-3697",
            "fax_number": "989-790-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETHMAN",
        "first_name": "HEIDI",
        "middle_name": "REID",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704155237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.