Individual provider Active NPI

Jessica Heaps

  • Pharmacist
  • Colorado Springs, CO
National Provider Identifier
1457794174
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18428 Issued in CO
Practice address
3570 Hartsel Dr
Colorado Springs, CO 80920-4165
Phone
(719) 590-7515
Fax
(719) 590-7085
NPI assigned
Apr 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18428 CO Primary
Pharmacist 183500000X 6565360-1701 UT

Addresses

Primary practice location

3570 Hartsel Dr
Colorado Springs, CO 80920-4165

Mailing address

3570 Hartsel Dr
Colorado Springs, CO 80920-4165
Phone (719) 590-7515

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

State licenses

LicenseStateTypeSpecialty
18428COMDPharmacist
6565360-1701UTMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1457794174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 HARTSEL DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809204165",
            "telephone_number": "719-590-7515",
            "fax_number": "719-590-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 HARTSEL DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809204165",
            "telephone_number": "719-590-7515",
            "fax_number": "719-590-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAPS",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-11",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "18428",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "6565360-1701",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.