NPIMap

Organization Active NPI

Dr Heidi C Mist MD Inc

  • General Practice Physician
  • Red Bluff, CA
National Provider Identifier
1912256314
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A80054 Issued in CA
Legal business name
DR HEIDI C MIST MD INC
Practice address
1022 Jefferson St
Red Bluff, CA 96080-2726
Phone
(530) 527-7333
NPI assigned
Aug 31, 2012
Last updated
Oct 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Authorized official

Name
Dr. Heidi MistNPI 1154461416
Title
Owner
Phone
(530) 527-7333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X A80054 CA Primary

Addresses

Primary practice location

1022 Jefferson St
Red Bluff, CA 96080-2726

Mailing address

1022 Jefferson St
Red Bluff, CA 96080-2726

National Provider Directory

National Provider Directory

Locations

1022 Jefferson St
Red Bluff, CA 96080
Phone (530) 527-7333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1912256314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 JEFFERSON ST",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960802726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 JEFFERSON ST",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960802726",
            "telephone_number": "530-527-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR HEIDI C MIST MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-31",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "MIST",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-527-7333",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A80054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bluff, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.