Individual provider Active NPI

Brandon Heeney, ARNP

  • Adult Health Nurse Practitioner
  • Saint Paul, MN
National Provider Identifier
1912882986
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
70023942 Issued in WA
Practice address
2355 Highway 36 W Ste 400
Saint Paul, MN 55113-3905
Phone
(763) 412-1993
NPI assigned
Aug 8, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 70023942 WA Primary

Addresses

Primary practice location

2355 Highway 36 W Ste 400
Saint Paul, MN 55113-3905

Mailing address

716 S Arthur St Apt 32
Spokane, WA 99202-2492

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
70023942WAMDAdult Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: brandon.heeney@811393367080964.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1754611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1912882986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 S ARTHUR ST APT 32",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 HIGHWAY 36 W STE 400",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551133905",
            "telephone_number": "763-412-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEENEY",
        "first_name": "BRANDON",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-08",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "70023942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.