Individual provider Active NPI

Danette Eileen Heckathorn, PH.D.

  • Counselor
  • Fayetteville, AR
National Provider Identifier
1689808230
Registry record updated Oct 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
P0507046 Issued in AR
Practice address
525 N. Garland
Pat Walker Health Center - University of Arkansas
Fayetteville, AR 72701
Phone
(479) 575-5276
Fax
(479) 575-7438
NPI assigned
May 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X P0507046 AR Primary

Addresses

Primary practice location

525 N. Garland
Pat Walker Health Center - University of Arkansas
Fayetteville, AR 72701

Mailing address

525 N. Garland
Pat Walker Health Center - University of Arkansas
Fayetteville, AR 72701
Phone (479) 575-5276

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P0507046ARMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255564800000",
    "number": "1689808230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N. GARLAND",
            "address_2": "PAT WALKER HEALTH CENTER - UNIVERSITY OF ARKANSAS",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "72701",
            "telephone_number": "479-575-5276",
            "fax_number": "479-575-7438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N. GARLAND",
            "address_2": "PAT WALKER HEALTH CENTER - UNIVERSITY OF ARKANSAS",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "72701",
            "telephone_number": "479-575-5276",
            "fax_number": "479-575-7438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECKATHORN",
        "first_name": "DANETTE",
        "middle_name": "EILEEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-12",
        "last_updated": "2009-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AR",
            "license": "P0507046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; 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.