Individual provider Active NPI

Mary Heiman

  • Case Manager/Care Coordinator
  • Anchorage, AK
National Provider Identifier
1487890265
Registry record updated Dec 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
600 Barrow St
Suite 404
Anchorage, AK 99501-3631
Phone
(907) 258-3498
Fax
(907) 279-0171
NPI assigned
Dec 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

600 Barrow St
Suite 404
Anchorage, AK 99501-3631

Mailing address

44539 Sterling Hwy
Suite 206
Soldotna, AK 99669-7938
Phone (907) 262-9400

Other identifiers 1

IdentifierTypeStateIssuer
CMPENDINGMedicaidAK

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

NPI Registry JSON

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

{
    "created_epoch": "1230249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230249600000",
    "number": "1487890265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44539 STERLING HWY",
            "address_2": "SUITE 206",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697938",
            "telephone_number": "907-262-9400",
            "fax_number": "907-262-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BARROW ST",
            "address_2": "SUITE 404",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995013631",
            "telephone_number": "907-258-3498",
            "fax_number": "907-279-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIMAN",
        "first_name": "MARY",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-26",
        "last_updated": "2008-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMPENDING",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2008; 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.