Active NPI
Michele Renee Heisel, ATC
- Athletic Trainer
- Williamsburg, VA
National Provider Identifier
1679538805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0126000928
- Practice address
- 5408 Discovery Park Blvd
Suite 200
Williamsburg, VA 23188-2893 - Phone
- (757) 220-8552
- NPI assigned
- Apr 19, 2006
- Last updated
- Mar 3, 2015
- 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 | 0126000928 | VA | Primary |
Addresses
Primary practice location
5408 Discovery Park Blvd
Suite 200
Williamsburg, VA 23188-2893
Mailing address
5408 Discovery Park Blvd
Suite 200
Williamsburg, VA 23188-2893
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0126000928 | VA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinto Family Chiropractic, PLC | Past | Accepting new patients | |
| Esprit Health Incorporated, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Pinto Innovative Health & Wellness
- Physical Medicine & Rehabilitation Physician
- Williamsburg, VA
- NPI 1891454260
-
dba Pinto Chiropractic & Rehabilitation
- Chiropractor
- Williamsburg, VA
- NPI 1619995560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425340800000",
"number": "1679538805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5408 DISCOVERY PARK BLVD",
"address_2": "SUITE 200",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231882893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5408 DISCOVERY PARK BLVD",
"address_2": "SUITE 200",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231882893",
"telephone_number": "757-220-8552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEISEL",
"first_name": "MICHELE",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-19",
"last_updated": "2015-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "VA",
"license": "0126000928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsburg, VA
- Kimberly Carden Heath, M.A.ED., BCBA, LBA
- Laura C Heath, BCBA, LBA
- Arianna Heck, PA
- Lindsay Hefner, WHNP
- Kaitlin Marie Hegwald, LCSW
- Helen C Fiscella DDS P.C. (Fiscella Family Dentistry)
- Janice Dee Hembree, PHD
- June Strickland Henderson, M.D.
- Curtis Ray Henley II, DDS
- Jane Francis Henley, C.P.N.P., R.N.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.