Active NPI
Heidi E Quist, PA
- Physician Assistant
- Glendale, AZ
National Provider Identifier
1891204376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 6918
- Practice address
- 6320 W Union Hills Dr
#B2600
Glendale, AZ 85308-1096 - Phone
- (602) 942-5600
- Fax
- (623) 825-6386
- NPI assigned
- Sep 27, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 6918 | AZ | Primary |
Addresses
Primary practice location
6320 W Union Hills Dr
#B2600
Glendale, AZ 85308-1096
Mailing address
PO Box 6423
Chandler, AZ 85246-6423
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | AZ |
Other names 1
- Ms. Heidi Esser
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6918 | AZ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508889600000",
"number": "1891204376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6423",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852466423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6320 W UNION HILLS DR",
"address_2": "#B2600",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853081096",
"telephone_number": "602-942-5600",
"fax_number": "623-825-6386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUIST",
"first_name": "HEIDI",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-27",
"last_updated": "2017-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "6918",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HEIDI",
"last_name": "ESSER",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.