Individual provider Active NPI

Connie Elaine Heyob, APRN

  • Family Nurse Practitioner
  • East Helena, MT
National Provider Identifier
1134193931
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
220285 Issued in MT
Practice address
211 W Main St
East Helena, MT 59635-9012
Phone
(423) 742-2456
NPI assigned
Feb 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 16152 CA
Family Nurse Practitioner 363LF0000X 13904 TN
Family Nurse Practitioner 363LF0000X 0024170218 VA
Family Nurse Practitioner 363LF0000X 220285 MT Primary

Addresses

Primary practice location

211 W Main St
East Helena, MT 59635-9012

Mailing address

2047 N Last Chance Gulch # 451
Helena, MT 59601-0744
Phone (423) 742-2456

Other names 1

  • Connie Elaine Limburg Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240918002029 MT Practitioner - Nurse Practitioner 2567529795 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
16152CAMDGeneral Practice Dentistry
13904TNMDPhysical Therapist
220285MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Theoria Medical CurrentSince Aug 19, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Sep 30, 2024 Accepting new patients
Inpatient Consultants of Tennessee, P.C. Family Past Accepting new patients

Locations

65 Veterans Cir
Butte, MT 59701
Phone (406) 792-3000

1130 17th Ave S
Great Falls, MT 59405
Phone (406) 771-4500

3011 American Way
Missoula, MT 59808
Phone (406) 546-8745

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1134193931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2047 N LAST CHANCE GULCH # 451",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596010744",
            "telephone_number": "423-742-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W MAIN ST",
            "city": "EAST HELENA",
            "state": "MT",
            "postal_code": "596359012",
            "telephone_number": "423-742-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEYOB",
        "first_name": "CONNIE",
        "middle_name": "ELAINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-16",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "16152",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "13904",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024170218",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "220285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONNIE",
            "last_name": "LIMBURG",
            "middle_name": "ELAINE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Helena, MT

Sources for this page

Verify at the official NPI Registry.