Active NPI
Jenna Heinz, NP
- Family Nurse Practitioner
- Sylvania, OH
National Provider Identifier
1083159784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.020333
- Practice address
- 7135 Sylvania Ave
Building 2, Suite a
Sylvania, OH 43560-5510 - Phone
- (419) 479-5392
- NPI assigned
- Jan 4, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.020333 | OH | Primary |
Addresses
Primary practice location
7135 Sylvania Ave
Building 2, Suite a
Sylvania, OH 43560-5510
Mailing address
7135 Sylvania Ave
Building 2, Suite a
Sylvania, OH 43560-5510
Phone (419) 479-5392
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0201864 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.020333 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Lima Specialty Care LLC | Current | Accepting new patients | |
| Kingston Care Partners, LLC | Current | Accepting new patients |
Locations
830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960
1120 Dunaway St
Miamisburg, OH 45342
Phone (937) 307-5949
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490313600000",
"number": "1083159784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7135 SYLVANIA AVE",
"address_2": "BUILDING 2, SUITE A",
"city": "SYLVANIA",
"state": "OH",
"postal_code": "435605510",
"telephone_number": "419-479-5392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7135 SYLVANIA AVE",
"address_2": "BUILDING 2, SUITE A",
"city": "SYLVANIA",
"state": "OH",
"postal_code": "435605510",
"telephone_number": "419-479-5392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINZ",
"first_name": "JENNA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-04",
"last_updated": "2017-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.020333",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0201864",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sylvania, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.