Heather Lyn Hendrick, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

201243230RN Issued in OR

Practice address

1538 SE Sanford Ave
Roseburg, OR 97470-4262

Phone

(541) 680-4833

NPI assigned

Oct 7, 2021

Last updated

Oct 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Heather Lyn Cheeseman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1871255885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1538 SE SANFORD AVE",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974704262",
            "telephone_number": "541-680-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1538 SE SANFORD AVE",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974704262",
            "telephone_number": "541-680-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICK",
        "first_name": "HEATHER",
        "middle_name": "LYN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201243230RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "CHEESEMAN",
            "middle_name": "LYN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Heffner
• Hunter J Heikkinen
• James J Hein, DDS
• Jere David Henderson, R.PH.
• Terrance Henderson
• Lacey Henneke
• Kimberly E Henry
• Jennifer Lynn Hensley, RDH
• Heather Nicole Hernandez, PA
• Jennifer Hernandez, PHARMD

• Psychiatric/Mental Health Registered Nurse in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Psychiatric/Mental Health Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.