Active NPI
Barbara Ann-Marie Heerkens
- Registered Dietitian
- Phoenix, AZ
National Provider Identifier
1083479075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86289105
- Practice address
- 34225 N 27TH Dr # 1465
Phoenix, AZ 85085-6087 - Phone
- (602) 932-1212
- NPI assigned
- Feb 19, 2024
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86289105 | AZ | Primary |
Addresses
Primary practice location
34225 N 27TH Dr # 1465
Phoenix, AZ 85085-6087
Mailing address
12691 W Smokey Dr Ste 127
Surprise, AZ 85378-3801
Phone (602) 810-1210
Other practice location 1
12691 W Smokey Dr Ste 127
Surprise, AZ 85378-3801
Phone (602) 810-1210
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
| License | State | Type | Specialty |
|---|---|---|---|
| 86289105 | AZ | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Loft Services LLC | Dietitian, Registered | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708300800000",
"number": "1083479075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12691 W SMOKEY DR STE 127",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853783801",
"telephone_number": "602-810-1210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34225 N 27TH DR # 1465",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850856087",
"telephone_number": "602-932-1212"
}
],
"practiceLocations": [
{
"address_1": "12691 W Smokey Dr Ste 127",
"address_purpose": "LOCATION",
"city": "Surprise",
"state": "AZ",
"postal_code": "853783801",
"country_code": "US",
"telephone_number": "602-810-1210",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEERKENS",
"first_name": "BARBARA",
"middle_name": "ANN-MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-19",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AZ",
"license": "86289105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.