Individual provider Active NPI

Denise Marie Heiman, ARNP, RN, MSN, CDE

  • Nurse Practitioner
  • Axtell, KS
National Provider Identifier
1710127212
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
74673 Issued in KS
Practice address
306 Park Ave
Axtell, KS 66403-9604
Phone
(785) 889-4274
Fax
(785) 889-4117
NPI assigned
Feb 24, 2009
Last updated
Jul 7, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 74673 KS Primary
Medical-Surgical Clinical Nurse Specialist 364SM0705X 74673 KS
Registered Nurse 163W00000X 13-48951-021 KS
Diabetes Educator Registered Nurse 163WD0400X 840797 CA
Diabetes Educator Registered Nurse 163WD0400X R182041-2 MN

Addresses

Primary practice location

306 Park Ave
Axtell, KS 66403-9604

Mailing address

306 Park Ave
Axtell, KS 66403-9604
Phone (785) 889-4274

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
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
13-48951-021KSMDRegistered Nurse
840797CAMDDiabetes Educator Registered Nurse
R182041-2MNMDDiabetes Educator Registered Nurse
74673KSMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309996800000",
    "number": "1710127212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 PARK AVE",
            "city": "AXTELL",
            "state": "KS",
            "postal_code": "664039604",
            "telephone_number": "785-889-4274",
            "fax_number": "785-889-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 PARK AVE",
            "city": "AXTELL",
            "state": "KS",
            "postal_code": "664039604",
            "telephone_number": "785-889-4274",
            "fax_number": "785-889-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIMAN",
        "first_name": "DENISE",
        "middle_name": "MARIE",
        "credential": "ARNP, RN, MSN, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-24",
        "last_updated": "2011-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "74673",
            "primary": true
        },
        {
            "code": "364SM0705X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Medical-Surgical",
            "state": "KS",
            "license": "74673",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "13-48951-021",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "CA",
            "license": "840797",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "MN",
            "license": "R182041-2",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Axtell, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.