Active NPI
Ann Michele Heymann
- Advanced Practice Midwife
- Phoenix, AZ
National Provider Identifier
1154346807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 152
- Practice address
- 5428 E Virginia Ave
Phoenix, AZ 85008-1706 - Phone
- (602) 840-5441
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 152 | AZ | Primary |
| Advanced Practice Midwife | 367A00000X | 815 | AK |
Addresses
Primary practice location
5428 E Virginia Ave
Phoenix, AZ 85008-1706
Mailing address
5428 E Virginia Ave
Phoenix, AZ 85008-1706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 815 | AK | MD | Professional Counselor |
| 152 | AZ | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maniilaq Association | Past | Accepting new patients | |
| Maniilaq Association | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Maniilaq Health Center
- Critical Access Hospital
- Kotzebue, AK
- NPI 1316995210
-
- Community/Behavioral Health Agency
- Kotzebue, AK
- NPI 1821297276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212624000000",
"number": "1154346807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5428 E VIRGINIA AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850081706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5428 E VIRGINIA AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850081706",
"telephone_number": "602-840-5441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEYMANN",
"first_name": "ANN",
"middle_name": "MICHELE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2008-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "AZ",
"license": "152",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "AK",
"license": "815",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.