MEDICARE: HEATHER MARIE KIERSTEAD CNM, WHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife	078857-23	NH
2	367A00000X	Advanced Practice Midwife	101.0098996	VT
3	363LF0000X	Family Nurse Practitioner	101.0098996	VT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	101.0098996	OTHER	VT	STATE LICENSE - APRN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	078857-23	OTHER	NH	STATE LICENSE - APRN

General Provider Information

NPI Number	:	1265785174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER MARIE KIERSTEAD CNM, WHNP

Provider Business Mailing Address
First Line	:	600 BLAIR PARK RD STE 285
Second Line	:
City	:	WILLISTON
State	:	VT
Zip	:	05495-7855
Country	:	US
Telephone Number	:	802-288-1140
Fax Number	:	802-288-1144

Provider Business Practice Location Address
First Line	:	6 HIGH ST
Second Line	:
City	:	BRATTLEBORO
State	:	VT
Zip	:	05301-3001
Country	:	US
Telephone Number	:	866-476-1321
Fax Number	:	802-257-4342

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2012
Last Update Date	:	02/19/2026

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