Individual provider Active NPI

Norman M Hezlep, RNFA

  • Registered Nurse First Assistant
  • South Bend, IN
National Provider Identifier
1073810172
Registry record updated Feb 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
28150524A Issued in IN
Practice address
23423 Adams Rd
South Bend, IN 46628-9211
Phone
(574) 273-5218
NPI assigned
Feb 25, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 28150524A IN Primary

Addresses

Primary practice location

23423 Adams Rd
South Bend, IN 46628-9211

Mailing address

23423 Adams Rd
South Bend, IN 46628-9211
Phone (574) 273-5218

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

State licenses

LicenseStateTypeSpecialty
28150524AINMDRegistered Nurse First Assistant

NPI Registry JSON

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

{
    "created_epoch": "1298592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298592000000",
    "number": "1073810172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23423 ADAMS RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466289211",
            "telephone_number": "574-273-5218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23423 ADAMS RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466289211",
            "telephone_number": "574-273-5218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEZLEP",
        "first_name": "NORMAN",
        "middle_name": "M",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-25",
        "last_updated": "2011-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "IN",
            "license": "28150524A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; 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.