Active NPI
Kelly Wynn Neiheiser, RN
- Inpatient Obstetric Registered Nurse
- Barrow, AK
National Provider Identifier
1174747802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Inpatient Obstetric Registered Nurse
- License
- 24374
- Practice address
- 1296 Avgik Street
Barrow, AK 99723-1496 - Phone
- (907) 852-9321
- NPI assigned
- Apr 12, 2007
- 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 |
|---|---|---|---|---|
| Inpatient Obstetric Registered Nurse | 163WX0003X | 24374 | AK | Primary |
Addresses
Primary practice location
1296 Avgik Street
Barrow, AK 99723-1496
Mailing address
PO Box 1496
Barrow, AK 99723-1496
Phone (907) 852-9321
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
| License | State | Type | Specialty |
|---|---|---|---|
| 24374 | AK | MD | Inpatient Obstetric Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174747802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1496",
"city": "BARROW",
"state": "AK",
"postal_code": "997231496",
"telephone_number": "907-852-9321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1296 AVGIK STREET",
"city": "BARROW",
"state": "AK",
"postal_code": "997231496",
"telephone_number": "907-852-9321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEIHEISER",
"first_name": "KELLY",
"middle_name": "WYNN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WX0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Obstetric, Inpatient",
"state": "AK",
"license": "24374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barrow, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.