Individual provider Active NPI

Kelly A Heger, RN

  • Registered Nurse
  • Bridgewater, MA
National Provider Identifier
1023139110
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
271991 Issued in MA
Practice address
302 Plain St
Bridgewater, MA 02324-1993
Phone
(508) 697-8026
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 271991 MA Primary

Addresses

Primary practice location

302 Plain St
Bridgewater, MA 02324-1993

Mailing address

302 Plain St
Bridgewater, MA 02324-1993
Phone (508) 697-8026

Other identifiers 1

IdentifierTypeStateIssuer
0711217OtherMAINDEPENDENT NURSING ID #

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)
Not enrolled
Credentials
Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023139110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 PLAIN ST",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023241993",
            "telephone_number": "508-697-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 PLAIN ST",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023241993",
            "telephone_number": "508-697-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGER",
        "first_name": "KELLY",
        "middle_name": "A",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "271991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT NURSING ID #",
            "identifier": "0711217",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.