Individual provider Active NPI

Heidi Gerlinde Toll, RN, CPN

  • Pediatric Registered Nurse
  • Southlake, TX
National Provider Identifier
1053023903
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Registered NurseTaxonomy code 163WP0200X
License
770298 Issued in TX
Practice address
771 E Southlake Blvd Ste 222
Southlake, TX 76092-7065
Phone
(817) 888-6974
NPI assigned
Dec 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 773883 CA
Registered Nurse 163W00000X 770298 TX
Medical-Surgical Registered Nurse 163WM0705X 770298 TX
Medical-Surgical Registered Nurse 163WM0705X 773883 CA
Pediatric Registered Nurse 163WP0200X 770298 TX Primary
Neonatal Intensive Care Registered Nurse 163WN0002X 770298 TX
Pediatric Registered Nurse 163WP0200X 773883 CA
Pediatric Oncology Registered Nurse 163WP0218X 770298 TX
Pediatric Oncology Registered Nurse 163WP0218X 773883 CA
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 773883 CA

Addresses

Primary practice location

771 E Southlake Blvd Ste 222
Southlake, TX 76092-7065

Mailing address

771 E Southlake Blvd Ste 222
Southlake, TX 76092-7065
Phone (817) 888-6974

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

State licenses

LicenseStateTypeSpecialty
770298TXMDNeonatal Intensive Care Registered Nurse
773883CAMDChild & Adolescent Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Compassion Neuroscience CurrentSince Dec 28, 2022 Accepting new patients

Locations

771 E Southlake Blvd
Ste 222
Southlake, TX 76092
Phone (817) 888-6974

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1053023903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 E SOUTHLAKE BLVD STE 222",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927065",
            "telephone_number": "817-888-6974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 E SOUTHLAKE BLVD STE 222",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927065",
            "telephone_number": "817-888-6974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLL",
        "first_name": "HEIDI",
        "middle_name": "GERLINDE",
        "credential": "RN, CPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-21",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "773883",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "770298",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "TX",
            "license": "770298",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "CA",
            "license": "773883",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "TX",
            "license": "770298",
            "primary": true
        },
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "TX",
            "license": "770298",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "CA",
            "license": "773883",
            "primary": false
        },
        {
            "code": "163WP0218X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatric Oncology",
            "state": "TX",
            "license": "770298",
            "primary": false
        },
        {
            "code": "163WP0218X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatric Oncology",
            "state": "CA",
            "license": "773883",
            "primary": false
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "CA",
            "license": "773883",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.