Active NPI
Gretchen Ann Heilmann, NP
- Neonatal Nurse Practitioner
- Columbus, OH
National Provider Identifier
1326214610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- COANP01919
- Practice address
- 700 Childrens Drive
Columbus, OH 43205 - Phone
- (614) 722-2029
- Fax
- (614) 722-4772
- NPI assigned
- May 6, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | NCCHEI104267849 | OH | |
| Neonatal Nurse Practitioner | 363LN0000X | COANP01919 | OH | Primary |
Addresses
Primary practice location
700 Childrens Drive
Columbus, OH 43205
Mailing address
700 Childrens Drive
Columbus, OH 43205
Phone (614) 722-6510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3023383 | Medicaid | OH |
Other names 1
- Gretchen Waldvogel
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COANP01919 | OH | MD | Neonatal Nurse Practitioner |
| NCCHEI104267849 | OH | MD | Critical Care Neonatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482883200000",
"number": "1326214610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 CHILDRENS DRIVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43205",
"telephone_number": "614-722-6510",
"fax_number": "614-722-4772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 CHILDRENS DRIVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43205",
"telephone_number": "614-722-2029",
"fax_number": "614-722-4772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEILMANN",
"first_name": "GRETCHEN",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-06",
"last_updated": "2016-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "OH",
"license": "NCCHEI104267849",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "OH",
"license": "COANP01919",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3023383",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GRETCHEN",
"last_name": "WALDVOGEL",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.