Nina Kathryn Head

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

53336 Issued in WY

Practice address

5439 Rabbit Creek Rd
Fort Collins, CO 80528-3191

Phone

(205) 389-0397

NPI assigned

Nov 9, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1437923505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5439 RABBIT CREEK RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283191",
            "telephone_number": "205-389-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5439 RABBIT CREEK RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283191",
            "telephone_number": "205-389-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAD",
        "first_name": "NINA",
        "middle_name": "KATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "53336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Ann Heaberlin, P.T.A.
• Craig Heacock, M.D.
• Thomas Theodore Heacock, M.D.
• Greg Steven Head
• Jennifer Lynn Head, LCSW, MSW
• Healing Connections LLC
• Healing Gardens Health Center
• Healing Pathways Counseling, LLC
• Healing Warriors Program
• Healing Warriors Program

• Family Nurse Practitioner in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.