Active NPI
Ralph Waltz Heath, FNP-C
- Family Nurse Practitioner
- Augusta, ME
National Provider Identifier
1205959657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP81550
- Practice address
- 15 E Chestnut St
Augusta, ME 04330-5736 - Phone
- (207) 626-1561
- NPI assigned
- Apr 9, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP81550 | ME | Primary |
Addresses
Primary practice location
15 E Chestnut St
Augusta, ME 04330-5736
Mailing address
37 Stonetree Road
Arrowsic, ME 04530
Phone (207) 522-4588
Other names 1
- Al Heath
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386547200000",
"number": "1205959657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 STONETREE ROAD",
"city": "ARROWSIC",
"state": "ME",
"postal_code": "04530",
"telephone_number": "207-522-4588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 E CHESTNUT ST",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043305736",
"telephone_number": "207-626-1561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEATH",
"first_name": "RALPH",
"middle_name": "WALTZ",
"name_prefix": "Mr.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-09",
"last_updated": "2013-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "CNP81550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AL",
"last_name": "HEATH",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Augusta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.