Individual provider Active NPI

Rebecca Lynn Heller, DC

  • Chiropractor
  • Blair, NE
National Provider Identifier
1720383870
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1647 Issued in NE
Practice address
1729 Washington St
Ste B
Blair, NE 68008-1501
Phone
(402) 426-4443
Fax
(402) 426-4604
NPI assigned
Jan 21, 2011
Last updated
Jan 23, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1647 NE Primary

Addresses

Primary practice location

1729 Washington St
Ste B
Blair, NE 68008-1501

Mailing address

1729 Washington St
Blair, NE 68008-1559
Phone (402) 426-4443

Other names 1

  • Rebecca Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110316000678 NE Practitioner - Chiropractic 5991987620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1729 Washington St
Suite B
Blair, NE 68008-1502
Phone (402) 426-4443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1647NEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Blair Chiropractic Centre, LLC Chiropractor CurrentSince Jan 28, 2011 Accepting new patients

Locations

1729 Washington St
Ste B
Blair, NE 68008
Phone (402) 426-4443

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1720383870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 WASHINGTON ST",
            "city": "BLAIR",
            "state": "NE",
            "postal_code": "680081559",
            "telephone_number": "402-426-4443",
            "fax_number": "402-426-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 WASHINGTON ST",
            "address_2": "STE B",
            "city": "BLAIR",
            "state": "NE",
            "postal_code": "680081501",
            "telephone_number": "402-426-4443",
            "fax_number": "402-426-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLER",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-21",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "SMITH",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blair, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.

Verify at the official NPI Registry.