Individual provider Active NPI

Heidi Bess Kreikemeier, RPT

  • Nursing Care Agency
  • Kennesaw, GA
National Provider Identifier
1437480738
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
PT004119 Issued in GA
Practice address
2359 St Davids SQ
Kennesaw, GA 30152-6706
Phone
(770) 809-4547
Fax
(770) 424-9332
NPI assigned
Jan 26, 2010
Last updated
Jan 26, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X PT004119 GA Primary

Addresses

Primary practice location

2359 St Davids SQ
Kennesaw, GA 30152-6706

Mailing address

2359 St Davids SQ
Kennesaw, GA 30152-6706
Phone (770) 809-4547

Other names 1

  • Mrs. Heidi Bess Willis Former name

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

State licenses

LicenseStateTypeSpecialty
PT004119GAMDNursing Care Agency

NPI Registry JSON

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1437480738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2359 ST DAVIDS SQ",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301526706",
            "telephone_number": "770-809-4547",
            "fax_number": "770-424-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2359 ST DAVIDS SQ",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301526706",
            "telephone_number": "770-809-4547",
            "fax_number": "770-424-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREIKEMEIER",
        "first_name": "HEIDI",
        "middle_name": "BESS",
        "name_prefix": "Ms.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-26",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "GA",
            "license": "PT004119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "WILLIS",
            "middle_name": "BESS",
            "prefix": "MRS.",
            "credential": "RPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.