Active NPI
Heather J. Ungeheuer, APRN
- Family Nurse Practitioner
- Topeka, KS
National Provider Identifier
1013200369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 53-75375-101
- Practice address
- 901 SW Garfield Ave
Topeka, KS 66606-1670 - Phone
- (785) 354-5598
- Fax
- (785) 354-5396
- NPI assigned
- May 19, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 53-75375-101 | KS | Primary |
Addresses
Primary practice location
901 SW Garfield Ave
Topeka, KS 66606-1670
Mailing address
823 SW Mulvane Lower Level
Physician Support Services
Topeka, KS 66606-1764
Phone (785) 354-6626
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200721630B | Medicaid | KS | |
| 068002170 | Other | KS | MEDICARE PTAN |
Other names 1
- Heather J. Grace
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-75375-101 | KS | MD | Family Nurse Practitioner |
Interoperability endpoints
- hgrace2891@stormontvaildirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460592000000",
"number": "1013200369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "823 SW MULVANE LOWER LEVEL",
"address_2": "PHYSICIAN SUPPORT SERVICES",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666061764",
"telephone_number": "785-354-6626",
"fax_number": "785-354-6305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 SW GARFIELD AVE",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666061670",
"telephone_number": "785-354-5598",
"fax_number": "785-354-5396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNGEHEUER",
"first_name": "HEATHER",
"middle_name": "J.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-19",
"last_updated": "2016-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "53-75375-101",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200721630B",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "068002170",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "GRACE",
"middle_name": "J.",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.