Heather Pederson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L12846 Issued in ND

Practice address

2028 2ND Ave NW
West Fargo, ND 58078-1317

Phone

(218) 356-2000

NPI assigned

Apr 2, 2026

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1775088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1992646251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 2ND AVE NW",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580781317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 2ND AVE NW",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580781317",
            "telephone_number": "218-356-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSON",
        "first_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-02",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "ND",
            "license": "L12846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patient Transport Services
• Carlene Marie Paulson, PT
• Kaitlyn Jane Paulson, MLS
• Breanna Pays-Stillerman
• Peachy Keen DME
• Peponi Care
• Mikenze Perala
• Miguel Perez
• Tabitha Perish
• Jenna Perreault

• Licensed Practical Nurse in West Fargo, ND
• Providers in West Fargo, ND by specialty
• Licensed Practical Nurse in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.