Active NPI
Kyla Jean Heiman, RN
- School Registered Nurse
- Gresham, WI
National Provider Identifier
1174420400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 135802-30
- Practice address
- 501 Schabow St
Gresham, WI 54128-9505 - Phone
- (715) 787-3211
- Fax
- (715) 787-3951
- NPI assigned
- Oct 21, 2026
- Last updated
- Oct 21, 2026
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 135802-30 | WI | Primary |
Addresses
Primary practice location
501 Schabow St
Gresham, WI 54128-9505
Mailing address
501 Schabow St
Gresham, WI 54128-9505
Phone (715) 787-3211
Other practice location 1
500 S Almon St
Bowler, WI 54416-9745
Phone (715) 793-4101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792540800000",
"number": "1174420400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 SCHABOW ST",
"city": "GRESHAM",
"state": "WI",
"postal_code": "541289505",
"telephone_number": "715-787-3211",
"fax_number": "715-787-3951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 SCHABOW ST",
"city": "GRESHAM",
"state": "WI",
"postal_code": "541289505",
"telephone_number": "715-787-3211",
"fax_number": "715-787-3951"
}
],
"practiceLocations": [
{
"address_1": "500 S Almon St",
"address_purpose": "LOCATION",
"city": "Bowler",
"state": "WI",
"postal_code": "544169745",
"country_code": "US",
"telephone_number": "715-793-4101",
"fax_number": "715-793-1302",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEIMAN",
"first_name": "KYLA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-21",
"last_updated": "2026-10-21",
"certification_date": "2026-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "WI",
"license": "135802-30",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gresham, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.