Active NPI
Heartland Miami Dialysis LLP
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Miami, OK
National Provider Identifier
1689033557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- HEARTLAND MIAMI DIALYSIS LLP
- Practice address
- 2111 Denver Harner Dr
Miami, OK 74354-4002 - Phone
- (918) 540-2700
- Fax
- (918) 540-2931
- NPI assigned
- Feb 19, 2016
- Last updated
- Feb 19, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie Ann Williams
- Title
- Partner
- Phone
- (417) 358-5500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
2111 Denver Harner Dr
Miami, OK 74354-4002
Mailing address
2111 Denver Harner Dr
Miami, OK 74354-4002
Phone (918) 540-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160531001590 | OK | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 9739479932 | Practice locations: Miami, OK |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2109331 | Heartland Miami Dialysis, LLP | Certificate of waiver | Feb 22, 2028 |
National Provider Directory
National Provider DirectoryLocations
2111 Denver Harner Dr
Miami, OK 74354
Phone (918) 540-2700
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nephrology Physician
- Joplin, MO
- NPI 1023025707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455840000000",
"number": "1689033557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2111 DENVER HARNER DR",
"city": "MIAMI",
"state": "OK",
"postal_code": "743544002",
"telephone_number": "918-540-2700",
"fax_number": "918-540-2931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 DENVER HARNER DR",
"city": "MIAMI",
"state": "OK",
"postal_code": "743544002",
"telephone_number": "918-540-2700",
"fax_number": "918-540-2931"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTLAND MIAMI DIALYSIS LLP",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-19",
"last_updated": "2016-02-19",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "JULIE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "417-358-5500"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.