Karly Heimbuch

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL6193 Issued in FL

Practice address

2909 Mansfield Blvd
Wesley Chapel, FL 33543-6931

Phone

(732) 977-1478

NPI assigned

Sep 29, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1053781450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20212 AUTUMN FERN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472914",
            "telephone_number": "732-977-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 MANSFIELD BLVD",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335436931",
            "telephone_number": "732-977-1478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4695 N Church Ln SE",
            "address_2": "Apt 12207",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303391545",
            "country_code": "US",
            "telephone_number": "732-977-1478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEIMBUCH",
        "first_name": "KARLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT002518",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL6193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heavenly Touch of Class Homemaker & Companion Services, LLC
• Bradlee Heckmann, BS/PHD
• Jessica Leigh Heckroth, MS, RD
• Kasey Hedrick, RMHCI
• Daniel Joseph Heidenberg, M.D.
• Stephanie Lee Heiser, APRN
• Michael Louis Heitzler, PTA
• Kristian Alane Hem, DNP, CRNA
• Nicole Henao
• Ryan Glenn Henry, PHD, LMFT

• Athletic Trainer in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.