Individual provider Active NPI

Julia Heckl, RN

  • Home Health Registered Nurse
  • Suring, WI
National Provider Identifier
1154767713
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
186053-30 Issued in WI
Practice address
425 Manor Dr
Suring, WI 54174-9182
Phone
(920) 842-4132
Fax
(920) 842-4133
NPI assigned
May 22, 2013
Sex
Female
Sole proprietor
No

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
186053-30WIMDHome Health Registered Nurse

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 186053-30 WI Primary

Addresses

NPPES NPI Registry

Primary practice location

425 Manor Dr
Suring, WI 54174-9182

Mailing address

425 Manor Dr
Suring, WI 54174-9182
Phone (920) 842-4132

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
41536700MedicaidWI

Other names 1

NPPES NPI Registry
  • Julia Boerschinger Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 22, 2013.

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1154767713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 MANOR DR",
            "city": "SURING",
            "state": "WI",
            "postal_code": "541749182",
            "telephone_number": "920-842-4132",
            "fax_number": "920-842-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 MANOR DR",
            "city": "SURING",
            "state": "WI",
            "postal_code": "541749182",
            "telephone_number": "920-842-4132",
            "fax_number": "920-842-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECKL",
        "first_name": "JULIA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": "186053-30",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41536700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "BOERSCHINGER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Suring, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.