Active NPI
Kathryn a. Heise
- Nursing Facility/Intermediate Care Facility
- Ocala, FL
National Provider Identifier
1518201060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- OTA224Z00000X
- Legal business name
- KATHRYN A. HEISE
- Practice address
- 1855 SE 51St Ter
Ocala, FL 34480-5763 - Phone
- (352) 694-1178
- NPI assigned
- Nov 22, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kathryn Ann Heise, COTA
- Title
- Occupational Therapist Assit.
- Phone
- (352) 694-1178
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | OTA224Z00000X | FL | Primary |
Addresses
Primary practice location
1855 SE 51St Ter
Ocala, FL 34480-5763
Mailing address
1855 SE 51St Ter
Ocala, FL 34480-5763
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OTA8879 | Other | FL | OTA8879 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1353542400000",
"number": "1518201060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1855 SE 51ST TER",
"city": "OCALA",
"state": "FL",
"postal_code": "344805763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 SE 51ST TER",
"city": "OCALA",
"state": "FL",
"postal_code": "344805763",
"telephone_number": "352-694-1178"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATHRYN A. HEISE",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-22",
"last_updated": "2012-11-22",
"status": "A",
"authorized_official_last_name": "HEISE",
"authorized_official_first_name": "KATHRYN",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST ASSIT.",
"authorized_official_telephone_number": "352-694-1178",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "COTA"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "FL",
"license": "OTA224Z00000X",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTA8879",
"identifier": "OTA8879",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.