Provider Demographics
NPI:1194841718
Name:SINGH, HEATHER M (NP)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:M
Last Name:SINGH
Suffix:
Gender:
Credentials:NP
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Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:9235 N UNION BLVD
Mailing Address - Street 2:STE 150 334
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-7833
Mailing Address - Country:US
Mailing Address - Phone:800-506-8933
Mailing Address - Fax:855-863-6522
Practice Address - Street 1:6031 E WOODMEN RD STE 330
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80923-2624
Practice Address - Country:US
Practice Address - Phone:800-506-8933
Practice Address - Fax:855-863-6522
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO5231363L00000X
CO112556363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO30986796Medicaid
WY1194817118Medicaid
CO018089OtherKAISER COMMERCIAL NUMBER
KS201072770AMedicaid
WY1194817118Medicaid
COCOA103476Medicare PIN