Individual provider Active NPI

Heidi J Helgeson Donaubauer, L.M.T

  • Specialist
  • Lindenhurst, IL
National Provider Identifier
1497036628
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
227013231 Issued in IL
Practice address
3021 Falling Waters Blvd
Suite C
Lindenhurst, IL 60046-6745
Phone
(847) 356-2895
NPI assigned
Sep 1, 2011
Last updated
Sep 1, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 227013231 IL Primary

Addresses

Primary practice location

3021 Falling Waters Blvd
Suite C
Lindenhurst, IL 60046-6745

Mailing address

36872 N Lawrence Dr
Lake Villa, IL 60046-9349
Phone (224) 456-4347

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
227013231ILMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314835200000",
    "number": "1497036628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36872 N LAWRENCE DR",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600469349",
            "telephone_number": "224-456-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 FALLING WATERS BLVD",
            "address_2": "SUITE C",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600466745",
            "telephone_number": "847-356-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELGESON DONAUBAUER",
        "first_name": "HEIDI",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "L.M.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-01",
        "last_updated": "2011-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "227013231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindenhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; 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.