Active NPI
Kimberly Heeb, WHNP/CNM
- Women's Health Nurse Practitioner
- East Aurora, NY
National Provider Identifier
1053723296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- F-420308-01
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| F-420308-01 | NY | MD | Women's Health Nurse Practitioner |
| F000742 | NY | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamburg Regional Gynecology PC | Past | 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.
-
- Gynecology Physician
- Orchard Park, NY
- NPI 1659337152
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.