Active NPI
Nichole Lea Heinz III
- Pharmacist
- Omaha, NE
National Provider Identifier
1699046664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11806
- Practice address
- 125 S 69TH Street
Omaha, NE 68132-3317 - Phone
- (402) 660-4312
- NPI assigned
- Jan 23, 2012
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11806 | NE | Primary |
Addresses
Primary practice location
125 S 69TH Street
Omaha, NE 68132-3317
Mailing address
125 S 69TH St
Omaha, NE 68132-3317
Phone (402) 660-4312
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 |
|---|---|---|---|
| 11806 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327276800000",
"number": "1699046664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 S 69TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681323317",
"telephone_number": "402-660-4312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 S 69TH STREET",
"city": "OMAHA",
"state": "NE",
"postal_code": "681323317",
"telephone_number": "402-660-4312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINZ",
"first_name": "NICHOLE",
"middle_name": "LEA",
"name_suffix": "III",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-23",
"last_updated": "2012-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "11806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.