Individual provider Active NPI

Janet Kaye Heins, CRNP

  • Nurse Practitioner
  • Northport, AL
National Provider Identifier
1669644944
Registry record updated Sep 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-055942 Issued in AL
Practice address
15550 Beacon Point Dr.
Northport, AL 35475
Phone
(251) 504-1294
NPI assigned
Mar 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-055942 AL Primary

Addresses

Primary practice location

15550 Beacon Point Dr.
Northport, AL 35475

Mailing address

15550 Beacon Point Dr.
Northport, AL 35475-3629
Phone (251) 504-1294

Other practice location 1

18557 Hammond St
Robertsdale, AL 36567
Phone (251) 947-9501

Other practice location 2

18557 Hammond St
Robertsdale, AL 36567-3629
Phone (251) 947-9501

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
1-055942ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Emergency Services of Mississippi Nurse Practitioner Past Accepting new patients

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": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535760000000",
    "number": "1669644944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15550 BEACON POINT DR.",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354753629",
            "telephone_number": "251-504-1294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15550 BEACON POINT DR.",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "35475",
            "telephone_number": "251-504-1294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18557 Hammond St",
            "address_purpose": "LOCATION",
            "city": "Robertsdale",
            "state": "AL",
            "postal_code": "36567",
            "country_code": "US",
            "telephone_number": "251-947-9501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18557 Hammond St",
            "address_purpose": "LOCATION",
            "city": "Robertsdale",
            "state": "AL",
            "postal_code": "365673629",
            "country_code": "US",
            "telephone_number": "251-947-9501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEINS",
        "first_name": "JANET",
        "middle_name": "KAYE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-27",
        "last_updated": "2018-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-055942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2018; 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.