Enoch Heileson, CPO

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

PS60756338 Issued in WA

Practice address

313 S 9TH Ave
Yakima, WA 98902-3516

Phone

(509) 248-8040

Fax

(509) 248-8709

NPI assigned

May 18, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1154858363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 S 9TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023516",
            "telephone_number": "509-248-8040",
            "fax_number": "509-248-8709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 S 9TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023516",
            "telephone_number": "509-248-8040",
            "fax_number": "509-248-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEILESON",
        "first_name": "ENOCH",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "WA",
            "license": "PS60756338",
            "primary": true
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "WA",
            "license": "OI60739280",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "120244",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9045675",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott K Heflick, MD
• Lindsey Hefner, RN, BSN
• Lisa Hefner, RN
• Heidi J. Robel, ND, Lac, PC
• Joseph Heier
• Ashley Heilman
• Carly Kelley Hein, SUDPT
• Joel C Heinzen
• Melissa A Helgeson, PMHNP
• Jackie Heller, SUDPT

• Prosthetist in Yakima, WA
• Providers in Yakima, WA by specialty
• Prosthetist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.