Kristen Danielle Heideger

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1148214 Issued in AL

Practice address

2006 Franklin St SE Ste 102
Huntsville, AL 35801-4537

Phone

(256) 251-5121

Fax

(256) 469-6061

NPI assigned

Jan 7, 2020

Last updated

Feb 24, 2020By the provider in NPPES

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 AL

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Family Practice of Madison, PC

  • Family Medicine Physician
  • Madison, AL
  • NPI 1306905690
  Medicare reassignment NPD

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1497395529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SUSSEX DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358241306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 FRANKLIN ST SE STE 102",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014537",
            "telephone_number": "256-251-5121",
            "fax_number": "256-469-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDEGER",
        "first_name": "KRISTEN",
        "middle_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1148214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Nicole Hefferle, MS, LCGC
• Brittaney Danialle Heffken
• David Edward Heffken, COTA/L
• Kelly Heflin, COTA/L
• Faith Ferguson Heidecker, OTRL
• Nichole Heidelbach
• Jennifer Isler Heidt, M.S., BCBA
• Benjamin W Heiman, CRNA
• Brittain Ford Heindl, M.D.
• Helen's Place LLC

• Family Nurse Practitioner in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.