Active NPI
Angela Heim, APNP
- Clinical Nurse Specialist
- Mount Pleasant, WI
National Provider Identifier
1720618218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- 9837
- Practice address
- 3801 Spring St
Mount Pleasant, WI 53405-1667 - Phone
- (262) 687-8920
- NPI assigned
- Jan 23, 2020
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ostomy Care Registered Nurse | 163WX1500X | 135778 | WI | |
| Adult Health Clinical Nurse Specialist | 364SA2200X | 9837 | WI | |
| Gerontology Clinical Nurse Specialist | 364SG0600X | 9837 | WI | |
| Wound Care Registered Nurse | 163WW0000X | 135778 | WI | |
| Clinical Nurse Specialist | 364S00000X | 9837 | WI | Primary |
Addresses
Primary practice location
3801 Spring St
Mount Pleasant, WI 53405-1667
Mailing address
W874 Wisteria Rd
Genoa City, WI 53128-1669
Phone (262) 812-3438
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 135778 | WI | MD | Wound Care Registered Nurse |
| 9837 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579737600000",
"number": "1720618218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W874 WISTERIA RD",
"city": "GENOA CITY",
"state": "WI",
"postal_code": "531281669",
"telephone_number": "262-812-3438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 SPRING ST",
"city": "MOUNT PLEASANT",
"state": "WI",
"postal_code": "534051667",
"telephone_number": "262-687-8920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIM",
"first_name": "ANGELA",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-23",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "163WX1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ostomy Care",
"state": "WI",
"license": "135778",
"primary": false
},
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "WI",
"license": "9837",
"primary": false
},
{
"code": "364SG0600X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Gerontology",
"state": "WI",
"license": "9837",
"primary": false
},
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": "WI",
"license": "135778",
"primary": false
},
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "WI",
"license": "9837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.