Individual provider Active NPI

Heather Calkins, FNP-C

  • Family Nurse Practitioner
  • Elkhart, IN
National Provider Identifier
1528635042
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71011384A Issued in IN
Practice address
1001 Parkway Ave Ste 11
Elkhart, IN 46516-9347
Phone
(574) 206-4399
NPI assigned
Jun 4, 2021
Last updated
Jan 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71011384A IN Primary

Addresses

Primary practice location

1001 Parkway Ave Ste 11
Elkhart, IN 46516-9347

Mailing address

1001 Parkway Ave Ste 11
Elkhart, IN 46516-9347

Other identifiers 1

IdentifierTypeStateIssuer
300053075MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address heather.calkinsnp.p1@direct.goshenphysicians.nextgenshare.com

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71011384AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Everside Health, LLC PastSince Jan 17, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: heather.calkinsnp.p1@direct.goshenphysicians.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1528635042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 PARKWAY AVE STE 11",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465169347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PARKWAY AVE STE 11",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465169347",
            "telephone_number": "574-206-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALKINS",
        "first_name": "HEATHER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-04",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71011384A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300053075",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heather.calkinsnp.p1@direct.goshenphysicians.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2014 S Main St Ste B",
            "city": "Goshen",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465265235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.