Organization Active NPI

Jenna Heilers Otr LLC

  • Specialist
  • Boulder, CO
National Provider Identifier
1356719058
Registry record updated Sep 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
3819 Issued in CO
Legal business name
JENNA HEILERS OTR LLC
Practice address
2135 Upland Ave
Boulder, CO 80304-0937
Phone
(812) 639-2870
NPI assigned
Sep 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2015

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

Authorized official

Name
Jenna M Heilers, MSOT
Title
Otr/L
Phone
(812) 639-2870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 3819 CO Primary

Addresses

Primary practice location

2135 Upland Ave
Boulder, CO 80304-0937

Mailing address

2135 Upland Ave
Boulder, CO 80304-0937
Phone (812) 639-2870

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441929600000",
    "number": "1356719058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 UPLAND AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803040937",
            "telephone_number": "812-639-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 UPLAND AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803040937",
            "telephone_number": "812-639-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNA HEILERS OTR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-11",
        "last_updated": "2015-09-11",
        "status": "A",
        "authorized_official_last_name": "HEILERS",
        "authorized_official_first_name": "JENNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OTR/L",
        "authorized_official_telephone_number": "812-639-2870",
        "authorized_official_credential": "MSOT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "3819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.