Active NPI
Heidi Bess Kreikemeier, RPT
- Nursing Care Agency
- Kennesaw, GA
National Provider Identifier
1437480738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- PT004119
- 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, 2010
- 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 |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT004119 | GA | MD | Nursing 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.