Kristin Jo Heesacker

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1065 Issued in NE

Practice address

1702 Hillcrest Dr
Bellevue, NE 68005-3652

Phone

(402) 555-5555

NPI assigned

Jun 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124223342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5057 S 84TH CT APT 10",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681272676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 HILLCREST DR",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680053652",
            "telephone_number": "402-555-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEESACKER",
        "first_name": "KRISTIN",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "1065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Ann Heaton, PA-C
• Roxanne M Heaton
• Heaven Sent Developmental Care Center
• Heavenly Health Care, Inc.
• Katherine Rose Hebenstreit
• Bobbi Jo Heffelfinger, APRN- FNP-C
• Bu Heh
• Julia Heidrick
• Valerie Lynn Height, LCSW, LMHP
• Shannon Heilbrun

• Occupational Therapist in Bellevue, NE
• Providers in Bellevue, NE by specialty
• Occupational Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.