Ronni Michelle Heard

Key facts

NPI

1063886232

Entity type

Individual (NPI type 1)

Primary specialty

Day Training/Habilitation Specialist 373H00000X

Practice address

424 N Main St
Cedartown, GA 30125-2644

Phone

(770) 749-2229

NPI assigned

Nov 25, 2015

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 25, 2015.

{
    "created_epoch": "1448409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448409600000",
    "number": "1063886232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 N MAIN ST",
            "city": "CEDARTOWN",
            "state": "GA",
            "postal_code": "301252644",
            "telephone_number": "770-749-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 N MAIN ST",
            "city": "CEDARTOWN",
            "state": "GA",
            "postal_code": "301252644",
            "telephone_number": "770-749-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARD",
        "first_name": "RONNI",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-25",
        "last_updated": "2015-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Cedartown, GA · Day Training/Habilitation Specialist in Georgia