Heather Prock

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

526 W College St Apt 9
Oberlin, OH 44074-1464

Phone

(440) 506-5704

NPI assigned

May 3, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: heather.prock@waldenu.edu

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1679218705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 W COLLEGE ST APT 9",
            "city": "OBERLIN",
            "state": "OH",
            "postal_code": "440741464",
            "telephone_number": "440-506-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 W COLLEGE ST APT 9",
            "city": "OBERLIN",
            "state": "OH",
            "postal_code": "440741464",
            "telephone_number": "440-506-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCK",
        "first_name": "HEATHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Heather.prock@waldenu.edu",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Information needs",
            "address_1": "526 W College St Apt 9",
            "city": "Oberlin",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440741464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brandy Jarie Palmer, PT, DPT
• Harry Francis Pepper III, PH.D.
• Chrystn Mary Petsas, FNP-C
• Physicians in Family Practice Inc
• Plum Creek Associates, Inc.
• Aliscia Pulito
• Richard Ray, M.D.
• Deon Kevin Regis, M.D.
• Kristyn M Rhynard, LISW
• Nicole Rico

• Case Manager/Care Coordinator in Oberlin, OH
• Providers in Oberlin, OH by specialty
• Case Manager/Care Coordinator in Ohio

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