Active NPI
Emmalee D'Ann Heinen, MED, ATC, LAT
- Athletic Trainer
- Bethany, OK
National Provider Identifier
1619492030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 882
- Practice address
- 6729 NW 39TH Expy
Bethany, OK 73008-2605 - Phone
- (405) 717-6326
- Fax
- (405) 717-6326
- NPI assigned
- Aug 7, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 882 | OK | Primary |
Addresses
Primary practice location
6729 NW 39TH Expy
Bethany, OK 73008-2605
Mailing address
9777 N Council Rd Apt 4019
Oklahoma City, OK 73162-5607
Phone (580) 704-7073
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 882 | OK | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502064000000",
"number": "1619492030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9777 N COUNCIL RD APT 4019",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731625607",
"telephone_number": "580-704-7073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6729 NW 39TH EXPY",
"city": "BETHANY",
"state": "OK",
"postal_code": "730082605",
"telephone_number": "405-717-6326",
"fax_number": "405-717-6326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINEN",
"first_name": "EMMALEE",
"middle_name": "D'ANN",
"credential": "MED, ATC, LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-07",
"last_updated": "2017-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OK",
"license": "882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethany, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.