Individual provider Active NPI

Kimberly Heeb, WHNP/CNM

  • Women's Health Nurse Practitioner
  • East Aurora, NY
National Provider Identifier
1053723296
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
F-420308-01 Issued in NY
Practice address
253 Main St
East Aurora, NY 14052-1661
Phone
(716) 714-9735
Fax
(716) 625-1225
NPI assigned
May 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X F000742 NY
Women's Health Nurse Practitioner 363LW0102X F-420308-01 NY Primary

Addresses

Primary practice location

253 Main St
East Aurora, NY 14052-1661

Mailing address

3720 E Main Street Rd
Attica, NY 14011-9328
Phone (716) 474-5487

Other practice location 1

121 S Main St
Warsaw, NY 14569-1567
Phone (585) 786-8350

Other practice location 2

408 N Main St
Warsaw, NY 14569-1015
Phone (585) 786-1560

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
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
F-420308-01NYMDWomen's Health Nurse Practitioner
F000742NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Hamburg Regional Gynecology PC PastSince Jul 1, 1993 Accepting new patients

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": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1053723296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 E MAIN STREET RD",
            "city": "ATTICA",
            "state": "NY",
            "postal_code": "140119328",
            "telephone_number": "716-474-5487",
            "fax_number": "716-625-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 MAIN ST",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140521661",
            "telephone_number": "716-714-9735",
            "fax_number": "716-625-1225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 S Main St",
            "address_purpose": "LOCATION",
            "city": "Warsaw",
            "state": "NY",
            "postal_code": "145691567",
            "country_code": "US",
            "telephone_number": "585-786-8350",
            "fax_number": "585-786-8362",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "408 N Main St",
            "address_purpose": "LOCATION",
            "city": "Warsaw",
            "state": "NY",
            "postal_code": "145691015",
            "country_code": "US",
            "telephone_number": "585-786-1560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEEB",
        "first_name": "KIMBERLY",
        "credential": "WHNP/CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-22",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F000742",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F-420308-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Aurora, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.