Active NPI
Clare Verda Heitz
- Athletic Trainer
- Fulton, MO
National Provider Identifier
1306664362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2026033859
- Practice address
- 501 Westminster Ave
Fulton, MO 65251-1299 - Phone
- (800) 888-9266
- NPI assigned
- Sep 30, 2024
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2026033859 | MO | Primary |
Addresses
Primary practice location
501 Westminster Ave
Fulton, MO 65251-1299
Mailing address
501 Westminster Ave
Fulton, MO 65251-1299
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786147200000",
"number": "1306664362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 WESTMINSTER AVE",
"city": "FULTON",
"state": "MO",
"postal_code": "652511299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 WESTMINSTER AVE",
"city": "FULTON",
"state": "MO",
"postal_code": "652511299",
"telephone_number": "800-888-9266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEITZ",
"first_name": "CLARE",
"middle_name": "VERDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-30",
"last_updated": "2026-08-08",
"certification_date": "2026-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MO",
"license": "2026033859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fulton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.