Active NPI
Melissa Kay Van Heel, RN
- Registered Nurse
- Elk River, MN
National Provider Identifier
1407119068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 203557-8
- Practice address
- 20132 Ulysses St NE
Elk River, MN 55330 - Phone
- (763) 753-8658
- NPI assigned
- Jun 19, 2012
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 203557-8 | MN | Primary |
Addresses
Primary practice location
20132 Ulysses St NE
Elk River, MN 55330
Mailing address
1717 7TH Ave S
Saint Cloud, MN 56301-5750
Phone (320) 248-2961
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 203557-8 | MN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340064000000",
"number": "1407119068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 7TH AVE S",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563015750",
"telephone_number": "320-248-2961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20132 ULYSSES ST NE",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "55330",
"telephone_number": "763-753-8658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN HEEL",
"first_name": "MELISSA",
"middle_name": "KAY",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-19",
"last_updated": "2012-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "203557-8",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk River, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.