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HEATHER DEDRICK RN
NPI 1891428157
Registered Nurse - Addiction (Substance Use Disorder) in Canton, NY

Active since July 05, 2022
80 STATE HIGHWAY 310 STE 1, CANTON, NY 13617(315) 386-2189 Get Directions Write a Review

NPPES record last updated: July 5, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Heather Dedrick Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEATHER DEDRICK RN (NPI 1891428157) is an individual addiction (substance use disorder) provider in Canton, New York, licensed in New York (718792) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1891428157
Entity TypeIndividualFemale
Primary Taxonomy163WA0400X
Provider Legal NameHEATHER DEDRICKCredential: RN
Location Address80 STATE HIGHWAY 310 STE 1Canton, NY 13617-1436
Mailing Address80 State Highway 310 Ste 1Canton, NY 13617-1436 · (315) 386-2189
Phone(315) 386-2189
Sole ProprietorNo
Enumeration DateJuly 5, 2022
NPPES CertifiedJuly 5, 2022
✔ NPI 1891428157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Addiction (Substance Use Disorder)Nursing Service Providers
Taxonomy Code163WA0400X
License✔ Licensed in NY · 718792
80 STATE HIGHWAY 310 STE 1, Canton, NY 13617
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Other Names 1

Former Name (1)Heather Smith

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANTOINE GABRIEL MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
80 STATE HIGHWAY 310 STE 1
CANTON, NY 13617
St. Lawrence County (315) 386-2167
KRISTINA BETH KELLY-SNOW MS IN MENTAL HEALTH
Counselor (Mental Health)
80 STATE HIGHWAY 310 STE 1
CANTON, NY 13617
St. Lawrence County (315) 386-2167
PATRICIA PIELNIK MD
Psychiatry & Neurology (Psychiatry)
80 STATE HIGHWAY 310 STE 1
CANTON, NY 13617
St. Lawrence County (315) 386-2167
CYNTHIA J PROVOW MD
General Practice
80 STATE HIGHWAY 310 STE 1
CANTON, NY 13617
St. Lawrence County (315) 386-2189
MS. GIDGET Q.V. RAFUS-ROUSELL CASAC II
Counselor (Mental Health)
80 STATE HIGHWAY 310 STE 1, ST. LAWRENCE COUNTY COMMUNITY
CANTON, NY 13617
St. Lawrence County (315) 386-2167
MS. KAYLIE E. DESHANE CASAC
Counselor (Addiction (Substance Use Disorder))
80 STATE HIGHWAY 310 STE 1
CANTON, NY 13617
St. Lawrence County (315) 386-2189
RANDYL SHANE CHASE
Counselor (Addiction (Substance Use Disorder))
80 STATE HIGHWAY 310 STE 1
CANTON, NY 13617
St. Lawrence County (315) 386-2189
ST LAWRENCE COUNTY
Community/Behavioral Health
80 STATE HIGHWAY 310 STE 1
CANTON, NY 13617
St. Lawrence County (315) 386-2167

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heather Dedrick's NPI number?

The NPI number for Heather Dedrick is 1891428157. It was assigned to this individual provider in the NPPES registry on July 5, 2022. The provider is also known as Heather Smith.

Where is Heather Dedrick located?

Heather Dedrick practices at 80 State Highway 310 Ste 1, Canton, NY 13617. The listed phone number is (315) 386-2189.

What is Heather Dedrick's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Addiction (Substance Use Disorder), with taxonomy code 163WA0400X.

When was this NPI record last updated?

The NPPES record for Heather Dedrick was last updated on July 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.