Amy E Heiby, ATC
Individual provider Active NPI Athletic Trainer · Notre Dame, IN
NPI 1093380107 · NPPES record last updated May 21, 2021
Key facts
- NPI
- 1093380107
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 36001586A (IN)
- Practice address
- 54515 State Road 933 North
Notre Dame, IN 46556-4655 - Phone
- (574) 239-1067
- NPI assigned
- May 21, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36001586A | IN | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 36001586A | IN | Yes |
Addresses
Primary practice location
54515 State Road 933 North
Notre Dame, IN 46556-4655
Mailing address
51722 Quince Rd
South Bend, IN 46628-9639
Phone (317) 292-5357
Other practice location 1
111 W Jefferson Blvd Ste 100
South Bend, IN 46601-1993
Phone (574) 647-1670
Other names
- Amy Elise Lefgren Heiby
Other providers in Notre Dame, IN
- Kathryn Marie Cox Cohoon
- Chelsey Delgado
- Elizabeth Anne Fourman
- Benjamin Garman
- Jamie Garvey
- April Lynn Henry
- Crystal Marie Higginson
- Holy Cross Village at Notre Dame, Inc.
- Victoria Hommel
- Sofia Santiaguel Ignaco
All providers in Notre Dame, IN · Athletic Trainer in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.