Nicholas Robert Heebner, PHD, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT1311 Issued in KY

Practice address

720 Sports Center Drive
Sports Medicine Research Institute
Lexington, KY 40506

Phone

(859) 323-9850

NPI assigned

Nov 6, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• University of Kentucky

  • Diagnostic Radiology Physician
  • Lexington, KY
  • NPI 1770771974
  NPD (past)

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

{
    "created_epoch": "1320537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1700163623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 SPORTS CENTER DRIVE",
            "address_2": "SPORTS MEDICINE RESEARCH INSTITUTE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40506",
            "telephone_number": "859-323-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SPORTS CENTER DRIVE",
            "address_2": "SPORTS MEDICINE RESEARCH INSTITUTE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40506",
            "telephone_number": "859-323-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEEBNER",
        "first_name": "NICHOLAS",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PHD, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-06",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT004559",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KY",
            "license": "AT1311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Heckel, MA, LPCA
• Hanna Hedayati, MD
• Kaitlin Hedges
• Camden Hedrick
• Alicia Marie Hedtke, ARNP
• Brelyn M Heffelbower, PTA
• William Michael Heffron, MD
• Mitchell Heges
• Tracy Hegner, CRNA
• Lacey Min Hehl, CADC

• Athletic Trainer in Lexington, KY
• Providers in Lexington, KY by specialty
• Athletic Trainer in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.