Georgia Heisser

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

MT126192 Issued in TX

Legal business name

GEORGIA HEISSER

Practice address

7750 Park North Dr
Beaumont, TX 77708-2425

Phone

(832) 849-8298

NPI assigned

Jan 24, 2017

Last updated

Jan 24, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Georgia Heisser, LMTNPI 1851828842

Title

Massage Therapist

Phone

(832) 849-8298

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Georgia Heisser

  • Massage Therapist
  • Beaumont, TX
  • NPI 1851828842
  Authorized official Same address or phone

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485216000000",
    "number": "1245777564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21285",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777201285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 PARK NORTH DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777082425",
            "telephone_number": "832-849-8298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA HEISSER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A",
        "authorized_official_last_name": "HEISSER",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "832-849-8298",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "TX",
            "license": "MT126192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESPIRATORY, DEVELOPMENTAL, REHAB & RESTORATIVE SERVICE PROVIDERS",
            "identifier": "225700000X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genoa Healthcare LLC
• Gentiva Healthcare
• George S. Hoffman, M.D.
• Kelly George, ATHLETIC TRAINER
• Alicia Georgetown, FNP
• Hermann Gerhardt, M.D.
• Terri Lynn German, D.D.S.
• Melissa Kay Ghorayeb, LVN
• Donna Gibbs, LPC
• Garrett Gibbs, C.R.N.A.

• Point of Service in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Point of Service in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.