Active NPI
Total Family Health, PC
- Family Nurse Practitioner
- Rock Springs, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 17189.0261
- Legal business name
- TOTAL FAMILY HEALTH, PC
- Practice address
- 2620 Commercial Way
Suite 051
Rock Springs, WY 82901-4755 - Phone
- (307) 382-2080
- Fax
- (307) 382-5099
- NPI assigned
- Aug 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura J Heitz, NP
- Title
- President
- Phone
- (307) 382-2080
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 17189.0261 | WY | Primary |
Addresses
Primary practice location
2620 Commercial Way
Suite 051
Rock Springs, WY 82901-4755
Mailing address
2620 Commercial Way
Suite 051
Rock Springs, WY 82901-4755
Phone (307) 382-2080
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118483100 | Medicaid | WY | |
| 312190 | Other | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2620 Commercial Way
Ste 51
Rock Springs, WY 82901
Phone (307) 382-2080
1208 Hilltop Dr
Ste 100
Rock Springs, WY 82901
Phone (307) 382-2080
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Rock Springs, WY
- NPI 1013090554
-
- Hospitalist Physician
- Ogden, UT
- NPI 1386748986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264377600000",
"number": "1083806111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 COMMERCIAL WAY",
"address_2": "SUITE 051",
"city": "ROCK SPRINGS",
"state": "WY",
"postal_code": "829014755",
"telephone_number": "307-382-2080",
"fax_number": "307-382-5099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 COMMERCIAL WAY",
"address_2": "SUITE 051",
"city": "ROCK SPRINGS",
"state": "WY",
"postal_code": "829014755",
"telephone_number": "307-382-2080",
"fax_number": "307-382-5099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTAL FAMILY HEALTH, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-13",
"last_updated": "2010-01-25",
"status": "A",
"authorized_official_last_name": "HEITZ",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "307-382-2080",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "WY",
"license": "17189.0261",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118483100",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "312190",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rock Springs, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.