DR. HEIDI C MIST (NPI# 1154461416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154461416 |
| Entity Type | Individual |
| Full Name | DR. HEIDI C MIST |
| Credential | MD, MPH&TM |
| Practice Address |
1022 Jefferson St Red Bluff CA 96080-2726 |
| Practice Telephone | 5305277333 |
| Practice Fax Number | 5305277300 |
| Mailing Telephone | 5305277333 |
| Mailing Fax Number | 5305277300 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2012-08-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | A80054 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0089251 | 05 | |
| CA | 53909G | 05 |
| Street Address |
1022 JEFFERSON ST |
| City | RED BLUFF |
| State | CA |
| Zip Code | 96080-2726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912256314 | Dr Heidi C Mist Md Inc | General Practice | 1022 Jefferson St, Red Bluff, CA 96080-2726 | 2012-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578912408 | Gillian Lilo Prothro | Registered Nurse | 1425 Montgomery St., Red Bluff, CA 96080 | 2016-06-10 |
| 1154739373 | Gisela Vazquez Sandoval | Counselor | 818 Walnut St, Red Bluff, CA 96080 | 2014-07-31 |
| 1215348883 | Courtney Cathleen Coenen | Non-emergency Medical Transport (VAN) | 320 Michael Drive, Red Bluff, CA 96080 | 2014-05-16 |
| 1023451986 | Nhuha Thi Le | Registered Nurse | 1860 B Walnut St, Red Bluff, CA 96080 | 2013-04-10 |
| 1184991580 | Maria Arendina Los | Registered Nurse | 818 Main Street, Tehama County Health Services Agency, Red Bluff, CA 96080 | 2011-11-30 |
| 1558682195 | Metasebia Bekele | Physician Assistant | 1850 Walnut Street, Red Bluff, CA 96080 | 2010-06-17 |
| 1821314238 | Cynthia Louise Funderburk | Nurse's Aide | 1860 B Walnut Street, Red Bluff, CA 96080 | 2010-04-09 |
| 1285865485 | Phillip John Velador Jr. | Licensed Vocational Nurse | 1860b Walnut Street, Red Bluff, CA 96080 | 2009-08-05 |
| 1609010347 | Lori Kay Mccaughey | Registered Nurse | 1860b Walnut St, Red Bluff, CA 96080 | 2009-04-24 |
| 1467668616 | Tehama County Health Services Agency - Mental Health Division | Clinic/Center | 1860 Walnut Street, Suite A, B, D and J, Red Bluff, CA 96080 | 2007-05-15 |
| Find all providers in zip 96080 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174678742 | Mercedes Isabel Patee | General Practice | 2440 Sister Mary Columba Dr Ste 300, Red Bluff, CA 96080-4356 | 2007-01-24 |
| 1992722805 | Bernardo Rodolfo Roisenzvit | General Practice | 1425 Montgomery Rd, Red Bluff, CA 96080-4605 | 2006-07-16 |
| 1912256314 | Dr Heidi C Mist Md Inc | General Practice | 1022 Jefferson St, Red Bluff, CA 96080-2726 | 2012-08-31 |
| 1578797833 | Ntango Desire Banani | General Practice | 1425 Montgomery Rd, Red Bluff, CA 96080-4605 | 2009-05-14 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.