CHERYL A. HEFTA (NPI# 1255448668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255448668 |
| Entity Type | Individual |
| Full Name | CHERYL A. HEFTA |
| Credential | NP |
| Practice Address |
416 2nd Ave N Fort Totten ND 58335 |
| Mailing Address |
4507 Highway 20 Devils Lake ND 58301-8518 |
| Practice Telephone | 7017661251 |
| Practice Fax Number | 7017661260 |
| Mailing Telephone | 7016622414 |
| Mailing Fax Number | 7017661260 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
R19042 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | BLUE CROSS/BLUE SHIELD | 26450 | 01 |
| Street Address |
416 2ND AVE N |
| City | FORT TOTTEN |
| State | ND |
| Zip Code | 58335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356941116 | Sherry Yvonne Longie | Technician | 213 Dakotah Dr. #53, Fort Totten, ND 58335 | 2020-10-29 |
| 1235650250 | Tiffaney Anne Two Eagle | Registered Nurse | 3883 74th Avenue Northeast, Fort Totten, ND 58335 | 2017-06-29 |
| 1093015265 | Spirit Lake Head Start | Clinic/Center | 816 3rd Ave North, Fort Totten, ND 58335 | 2010-10-22 |
| 1154532000 | Nancy C Dauphinais | Technician, Pathology | 3883 74th Avenue North East, Fort Totten, ND 58335 | 2007-05-24 |
| 1467575159 | Jeanette Lucille Rosenheim | Registered Nurse | Spirit Lake Health Center, 3883 74th Ave Ne Box 309, Fort Totten, ND 58335 | 2007-04-09 |
| 1184744518 | Tammy Delaine Lawrence | Registered Nurse | 3883 74th Avenue Ne, Fort Totten, ND 58335 | 2007-03-30 |
| 1821127036 | Evangeline S. Gaid | Family Medicine | 3883 74th Ave.ne, Ft. Totten, ND 58335 | 2007-03-05 |
| 1538296199 | Cheri J Schaffer | Registered Nurse | 3883 74th Ave North East, Fort Totten, ND 58335 | 2007-02-28 |
| 1720152457 | Spirit Lake Tribe | Case Management | 416 2nd Avenue North, Fort Totten, ND 58335 | 2006-11-17 |
| 1689762171 | Cynthia Anne Gunderson | Pharmacist | 3883 74th Ave Ne, Ft Totten, ND 58335 | 2006-10-10 |
| Find all providers in zip 58335 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720691645 | Crystal Lynn Lesmeister | Nurse Practitioner | 110 W Broadway Ste 101, Williston, ND 58801-6056 | 2020-08-29 |
| 1598772345 | Renai D Ehrichs | Nurse Practitioner | 2101 Elm Street, Fargo, ND 58102 | 2006-08-02 |
| 1619939006 | Carol Sue Moen | Nurse Practitioner | 524 4th Ave Ne, Unit 9, Devils Lake, ND 58301-2490 | 2006-04-03 |
| 1154319911 | Gail Rae Halverson | Nurse Practitioner | 360 Division Ave, Suite 200, Grand Forks, ND 58201-4702 | 2005-10-06 |
| 1386280261 | Canopy Medical Clinic, Pllc | Nurse Practitioner | 100 4th St S, Fargo, ND 58103-1929 | 2019-11-26 |
| 1700420288 | Heather Rose Hass | Nurse Practitioner | 1301 15th Ave W, Williston, ND 58801-3821 | 2019-10-29 |
| 1629533724 | Alexa Marie Volesky | Nurse Practitioner | 3000 32nd Ave S, Fargo, ND 58103 | 2019-02-04 |
| 1891265757 | Carissa Abigail Monique Lawrence | Nurse Practitioner | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2018-12-04 |
| 1730535386 | Ashley A Ruesink | Nurse Practitioner | 801 Broadway N, Fargo, ND 58102-3641 | 2016-05-12 |
| 1063822062 | Amanda Swanson | Nurse Practitioner | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2014-04-30 |
| Find all providers with the same taxonomy | ||||
| City | FORT TOTTEN |
| Zip Code | 58335 |
Please comment or provide details below to improve the information on CHERYL A. HEFTA.
| 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.