Individual provider Active NPI

Jonathan Henry Hecktman

  • Student in an Organized Health Care Education/Training Program
  • Chapel Hill, NC
National Provider Identifier
1104673912
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
HECK-0Y5DUR Issued in NC
Practice address
170 Manning Drive
CB 7594
Chapel Hill, NC 27514
Phone
(919) 966-6442
NPI assigned
May 1, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X HECK-0Y5DUR NC Primary

Addresses

Primary practice location

170 Manning Drive
CB 7594
Chapel Hill, NC 27514

Mailing address

469 W Huron St Apt 2008
Chicago, IL 60654-3472
Phone (847) 363-1733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240614001303 NC Order and Referring Only - Emergency MedicinePractitioner - Emergency Medicine 2961945258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
HECK-0Y5DURNCMDStudent in an Organized Health Care Education/Training Program

Interoperability endpoints

  • Direct secure messaging: jhecktman1157880@direct.unc.nchie.net
  • Direct secure messaging: jhecktman550714@directhisp.wakemed.org

NPI Registry JSON

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1104673912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 W HURON ST APT 2008",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543472",
            "telephone_number": "847-363-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MANNING DRIVE",
            "address_2": "CB 7594",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "27514",
            "telephone_number": "919-966-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECKTMAN",
        "first_name": "JONATHAN",
        "middle_name": "HENRY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "HECK-0Y5DUR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.