TANYA HEIDENREICH (NPI# 1689689085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689689085 |
| Entity Type | Individual |
| Full Name | TANYA HEIDENREICH |
| Credential | CFNP |
| Practice Address |
2199 W Ironwood Center Dr Coeur D Alene ID 83814-2639 |
| Practice Telephone | 2086254888 |
| Mailing Telephone | 2086254888 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | NP358A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | REGENCE BLUE SHIELD | 000010015819 | 01 |
| ID | BLUE CROSS | NP659 | 01 |
| ID | 805146700 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2003 Kootenai Health Way, Coeur D Alene, ID 838146051 | 2086254000 |
| Street Address |
2199 W IRONWOOD CENTER DR |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-2639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194713487 | Coralyn J Alexander | Psychiatry & Neurology | 2199 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 | 2005-10-11 |
| 1619318276 | Robin Amanda Secrist | Nurse Practitioner | 2199 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 | 2013-07-11 |
| 1336451947 | Laura Christine Adams | Nurse Practitioner | 2199 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 | 2010-07-12 |
| 1093940074 | Justin Paul Garrett | Psychiatry & Neurology | 2199 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 | 2009-05-20 |
| 1609915644 | John Spencer Helsell | Psychiatry & Neurology | 2199 W Ironwood Center Dr, Coeur D Alene, ID 83814 | 2007-02-06 |
| 1184790677 | Emily Maria Hart | Counselor | 2199 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 | 2006-11-27 |
| 1477629996 | William H Miller Jr. | Psychiatry & Neurology | 2199 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 | 2006-11-27 |
| 1487724407 | North Idaho Mental Health Assoc | Psychiatry & Neurology | 2199 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 | 2006-11-08 |
| 1356454359 | Lauren A Boydston | Psychiatry & Neurology | 2199 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 | 2006-08-16 |
| 1548209935 | Eric J Heidenreich | Psychiatry & Neurology | 2199 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 | 2006-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114438033 | Meghan Gregg | Nurse Practitioner | 1919 Lincoln Way Ste 211, Coeur D Alene, ID 83814-2527 | 2017-10-18 |
| 1295283810 | Family Practice By The Lake | Nurse Practitioner | 1875 N Lakewood Dr Ste 205, Coeur D Alene, ID 83814-4928 | 2016-09-12 |
| 1568887503 | Amber Hanson | Nurse Practitioner | 7600 N Mineral Dr Ste 450, Coeur D Alene, ID 83815-7709 | 2014-02-27 |
| 1447536685 | Tara Teresa Flores | Nurse Practitioner | 2177 W Ironwood Center Dr, Coeur D Alene, ID 83814 | 2011-11-02 |
| 1669779955 | Annette L Asper | Nurse Practitioner | 1233 N Northwood Center Ct, Coeur D Alene, ID 83814 | 2011-02-22 |
| 1326271032 | Ellee S Reichert | Nurse Practitioner | 1919 Lincoln Way Ste 415, Coeur D Alene, ID 83814-2527 | 2009-08-27 |
| 1922218437 | Susan K Trenkle | Nurse Practitioner | 2251 W Ironwood Center Dr, Coeur D Alene, ID 83814-2665 | 2007-05-23 |
| 1063454981 | Jennifer Fletcher | Nurse Practitioner | 919 W Canfield Ave, Coeur D Alene, ID 83815-9764 | 2006-06-12 |
| 1740233345 | Margaret A Wasserman | Nurse Practitioner | 2022 Government Way, Coeur D Alene, ID 83814 | 2006-05-18 |
| 1598720989 | Laurie Foutty | Nurse Practitioner | 700 W Ironwood Dr Ste 120e, Coeur D Alene, ID 83814-7008 | 2006-04-19 |
| Find all providers in COEUR D ALENE | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
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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.