Active NPI
Darlene Marie Heimmer, MSN, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Surprise, AZ
National Provider Identifier
1427679885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 240099
- Practice address
- 14365 W Greer St
Surprise, AZ 85379-4355 - Phone
- (623) 236-0084
- NPI assigned
- Apr 27, 2020
- Last updated
- Jul 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 240099 | AZ | Primary |
Addresses
Primary practice location
14365 W Greer St
Surprise, AZ 85379-4355
Mailing address
13954 W Waddell Rd Ste 103-470
Surprise, AZ 85379-8750
Phone (623) 236-0084
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)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adult Mental Health Clinic/Center
- Surprise, AZ
- NPI 1396369310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595203200000",
"number": "1427679885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13954 W WADDELL RD STE 103-470",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853798750",
"telephone_number": "623-236-0084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14365 W GREER ST",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853794355",
"telephone_number": "623-236-0084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIMMER",
"first_name": "DARLENE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MSN, APRN, PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-27",
"last_updated": "2020-07-20",
"certification_date": "2020-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "240099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.