Active NPI
Heidi Gerlinde Toll, RN, CPN
- Pediatric Registered Nurse
- Southlake, TX
National Provider Identifier
1053023903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Registered Nurse
- License
- 770298
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 770298 | TX | MD | Neonatal Intensive Care Registered Nurse |
| 773883 | CA | MD | Child & Adolescent Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compassion Neuroscience | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Southlake, TX
- NPI 1144932351
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.