Marianne Rae Heckman, PTA

Primary specialty

ContractorTaxonomy code 171W00000X

License

0648 Issued in ND

Practice address

1715 S Broadway
Minot, ND 58701-6304

Phone

(701) 837-8441

Fax

(844) 272-1182

NPI assigned

Jan 12, 2016

Last updated

Jan 12, 2016By the provider in NPPES

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

Other names 1

• Mrs. Marianne Rae Mauldin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

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  NPD (past)

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1740646314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 HARRISON DR",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587031617",
            "telephone_number": "701-833-5097",
            "fax_number": "844-272-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 S BROADWAY",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016304",
            "telephone_number": "701-837-8441",
            "fax_number": "844-272-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECKMAN",
        "first_name": "MARIANNE",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "ND",
            "license": "0648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIANNE",
            "last_name": "MAULDIN",
            "middle_name": "RAE",
            "prefix": "MRS.",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Healing Freedom Counseling PLLC
• Healthsource of Minot, LLC
• Heather Kippen, LCSW, PLLC (Just Breathe)
• Ashley Lauren Hebbard, LSW
• Donna A Hebert
• Leah Hedberg
• Caleb Heerema, MD
• Katie Heide, PHARM D
• Rebecca A. Heilman, CRNA
• Lacey Brieanne Hein, LSW

• Contractor in Minot, ND
• Providers in Minot, ND by specialty
• Contractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.