Individual provider Active NPI

Katie Marie Heille, CNP

  • Pediatrics Physician
  • Minneapolis, MN
National Provider Identifier
1356998215
Registry record updated Aug 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
6233 Issued in MN
Practice address
305 W Franklin Ave Apt 201
Minneapolis, MN 55404-2308
Phone
(952) 460-0183
NPI assigned
Aug 24, 2019
Last updated
Aug 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 6233 MN Primary

Addresses

Primary practice location

305 W Franklin Ave Apt 201
Minneapolis, MN 55404-2308

Mailing address

305 W Franklin Ave Apt 201
Minneapolis, MN 55404-2308
Phone (952) 460-0183

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
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
6233MNMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1566604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566604800000",
    "number": "1356998215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W FRANKLIN AVE APT 201",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042308",
            "telephone_number": "952-460-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W FRANKLIN AVE APT 201",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042308",
            "telephone_number": "952-460-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEILLE",
        "first_name": "KATIE",
        "middle_name": "MARIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-24",
        "last_updated": "2019-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "6233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2019; 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.