Active NPI
Kelley Gale Heilman
- Pharmacist
- Lebanon, TN
National Provider Identifier
1174031835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10441
- Practice address
- 615 S Cumberland St
Lebanon, TN 37087-5107 - Phone
- (615) 449-0611
- Fax
- (615) 444-1574
- NPI assigned
- Jan 16, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10441 | TN | Primary |
Addresses
Primary practice location
615 S Cumberland St
Lebanon, TN 37087-5107
Mailing address
615 S Cumberland St
Lebanon, TN 37087-5107
Phone (615) 449-0611
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10441 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516060800000",
"number": "1174031835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 S CUMBERLAND ST",
"city": "LEBANON",
"state": "TN",
"postal_code": "370875107",
"telephone_number": "615-449-0611",
"fax_number": "615-444-1574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 S CUMBERLAND ST",
"city": "LEBANON",
"state": "TN",
"postal_code": "370875107",
"telephone_number": "615-449-0611",
"fax_number": "615-444-1574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEILMAN",
"first_name": "KELLEY",
"middle_name": "GALE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-16",
"last_updated": "2018-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "10441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, TN
- HCA Health Services of Tennessee, Inc.
- HCA Health Services of Tennessee, Inc.
- Healthcare Management Group
- Healthfield of Tennessee, LLC
- Healthy Bones Chiropractic, PC
- Christin Nicole Henderson, RBT
- Kathlyn Hill Henderson, PT, CWS
- Lawrence Levi Henderson, LCSW
- Magan Goff Henderson, RN, APN
- Hendrick Counseling Services, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.