Provider Demographics
NPI:1194866954
Name:SATTERFIELD, HEATHER KAY (CNM)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:KAY
Last Name:SATTERFIELD
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7503 SAINT PHILLIP ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-1217
Mailing Address - Country:US
Mailing Address - Phone:512-626-1581
Mailing Address - Fax:512-626-1581
Practice Address - Street 1:7503 SAINT PHILLIP ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-1217
Practice Address - Country:US
Practice Address - Phone:512-626-1581
Practice Address - Fax:512-626-1581
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP113983367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX189789402Medicaid
TX818N57OtherBCBS
TXTXB107719Medicare PIN