Organization Active NPI

Heartland Functional Medicine PC

  • Family Nurse Practitioner
  • Papillion, NE
National Provider Identifier
1316436850
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
HEARTLAND FUNCTIONAL MEDICINE PC
Practice address
10701 S 72ND St
Papillion, NE 68046-3427
Phone
(402) 827-9421
Fax
(402) 999-8029
NPI assigned
May 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2018

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

Authorized official

Name
Michelle McCaslin, APRN
Title
Owner
Phone
(402) 827-9421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X NE Primary

Addresses

Primary practice location

10701 S 72ND St
Papillion, NE 68046-3427

Mailing address

10701 S 72ND St
Papillion, NE 68046-3427
Phone (402) 827-9421

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525824000000",
    "number": "1316436850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 S 72ND ST",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680463427",
            "telephone_number": "402-827-9421",
            "fax_number": "402-999-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 S 72ND ST",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680463427",
            "telephone_number": "402-827-9421",
            "fax_number": "402-999-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND FUNCTIONAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-05-09",
        "status": "A",
        "authorized_official_last_name": "MCCASLIN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-827-9421",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.