Individual provider Active NPI

Kathleen N Heady, LMT

  • Contractor
  • Shrewsbury, NJ
National Provider Identifier
1225410111
Registry record updated Jun 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
18KT00440300 Issued in NJ
Practice address
830 Broad St
Suite 1
Shrewsbury, NJ 07702-4215
Phone
(732) 758-1800
NPI assigned
Jun 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 18KT00440300 NJ Primary

Addresses

Primary practice location

830 Broad St
Suite 1
Shrewsbury, NJ 07702-4215

Mailing address

19 N Lake Dr
Middletown, NJ 07748-2315
Phone (610) 283-4152

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

LicenseStateTypeSpecialty
18KT00440300NJMDContractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435276800000",
    "number": "1225410111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 N LAKE DR",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482315",
            "telephone_number": "610-283-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 BROAD ST",
            "address_2": "SUITE 1",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024215",
            "telephone_number": "732-758-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEADY",
        "first_name": "KATHLEEN",
        "middle_name": "N",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NJ",
            "license": "18KT00440300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.