Individual provider Active NPI

Heidi G Will, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Redding, CA
National Provider Identifier
1891441531
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95033247 Issued in CA
Practice address
1201 Industrial St
Redding, CA 96002-0757
Phone
(530) 229-5000
NPI assigned
Feb 22, 2022
Last updated
Feb 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 36675 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95033247 CA Primary
Registered Nurse 163W00000X 235600 TN

Addresses

Primary practice location

1201 Industrial St
Redding, CA 96002-0757

Mailing address

1201 Industrial St
Redding, CA 96002-0757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250411003342 CA Practitioner - Nurse Practitioner 7315461282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shasta Community Health CenterGroup PAC ID 3870579816, 63 clinicians

Practice addresses (Care Compare)

1201 Industrial St
Redding, CA 96002-0757
Phone (530) 229-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
235600TNMDRegistered Nurse
95033247CAMDPsychiatric/Mental Health Nurse Practitioner
36675TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shasta Community Health Center Current Accepting new patients
Shasta Community Health Center CurrentSince Jan 20, 2025 Accepting new patients
Shasta Community Health Center CurrentSince Jan 20, 2025 Accepting new patients
American Medical Response of Tennessee, Inc. PastSince Feb 1, 2022 Accepting new patients
Helen Ross McNabb Center PastSince Feb 1, 2022 Accepting new patients

Locations

1035 Placer St
Redding, CA 96001

1201 Industrial St
Redding, CA 96002
Phone (530) 229-5000

Interoperability endpoints

  • Direct secure messaging: heidi.willpmhnp.p1@direct.schc.nextgenshare.com

Organizations & group practices 5

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": "1645488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1891441531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 INDUSTRIAL ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 INDUSTRIAL ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020757",
            "telephone_number": "530-229-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILL",
        "first_name": "HEIDI",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-22",
        "last_updated": "2025-02-12",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "36675",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95033247",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "235600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.