Individual provider Active NPI

Faye Heller, APRN/CNS

  • Psychiatric/Mental Health Nurse Practitioner
  • Topeka, KS
National Provider Identifier
1679549000
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
74019 Issued in KS
Practice address
5040 SW 28TH St
Ste. C
Topeka, KS 66614-2302
Phone
(785) 273-4908
Fax
(785) 273-0465
NPI assigned
Feb 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 74019 KS Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209004413 IL

Addresses

Primary practice location

5040 SW 28TH St
Ste. C
Topeka, KS 66614-2302

Mailing address

5040 SW 28TH St
Ste. C
Topeka, KS 66614-2302
Phone (785) 273-4908

Other identifiers 2

IdentifierTypeStateIssuer
160593OtherKSPTAN -ISSUED BT KS MEDICARE/BCBS
100249920BMedicaidKS

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
Certified Nurse Specialist, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209004413ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shunga Creek Mental Health 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1679549000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 SW 28TH ST",
            "address_2": "STE. C",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666142302",
            "telephone_number": "785-273-4908",
            "fax_number": "785-273-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 SW 28TH ST",
            "address_2": "STE. C",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666142302",
            "telephone_number": "785-273-4908",
            "fax_number": "785-273-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLER",
        "first_name": "FAYE",
        "credential": "APRN/CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-25",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "74019",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209004413",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN -ISSUED BT KS MEDICARE/BCBS",
            "identifier": "160593",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100249920B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.