Alexander Raymond Heinly, ADULT ACUTE CARE CNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

361774 Issued in OH

Practice address

18101 Lorain Ave
Cleveland, OH 44111-5612

Phone

(216) 476-7000

NPI assigned

Feb 20, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1720611577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 BAR HARBOR DR",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441401418",
            "telephone_number": "440-539-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18101 LORAIN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115612",
            "telephone_number": "216-476-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINLY",
        "first_name": "ALEXANDER",
        "middle_name": "RAYMOND",
        "credential": "ADULT ACUTE CARE CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "361774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Ann Heine
• Mary E Heine, CNP
• Monica A Heine, PT
• Frederick William Heineman, MD
• Beshoy Heinen, PHARMD
• Christopher Heinrich, PA-C
• Frank Heinrich
• Jennifer Heinrich
• Jennifer Heinrich, PHARM D
• Carolyn Marie Heintz, C.N.P.

• Acute Care Nurse Practitioner in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Acute Care Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.