Individual provider Active NPI

Kyla Jean Heiman, RN

  • School Registered Nurse
  • Gresham, WI
National Provider Identifier
1174420400
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
135802-30 Issued in WI
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.