Colleen Christine Heckman, MS OTR L

Primary specialty

SpecialistTaxonomy code 174400000X

License

U10000848 Issued in DE

Practice address

306 Yates Terrace
Avondale, PA 19311

Phone

(610) 256-8512

NPI assigned

May 2, 2007

Sex

Female

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

Enrolled in DE

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Easter Seals Delaware & Marylands Eastern Shore, Inc

  • Intellectual & Developmental Disabilities Psychologist
  • New Castle, DE
  • NPI 1437156635
  Medicare reassignment NPD

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740402668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 YATES TERRACE",
            "city": "AVONDALE",
            "state": "PA",
            "postal_code": "19311",
            "telephone_number": "610-256-8512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 YATES TERRACE",
            "city": "AVONDALE",
            "state": "PA",
            "postal_code": "19311",
            "telephone_number": "610-256-8512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECKMAN",
        "first_name": "COLLEEN",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "MS OTR L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "DE",
            "license": "U10000848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay S Feldstein, DO
• Francis Andrew Flomerfelt, DDS
• Breanna Maria Fuller
• Wayne Geller
• Victoria Harrison
• Yeshiu B Ho, PHARMD
• Sherri Lynn Hollick, MA, CCC-SLP
• Steven Iezzi, ATC
• Susannah Call Jenks, MSPT
• Michael Paul Kellum, LCSW

• Specialist in Avondale, PA
• Providers in Avondale, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.