Michelle Quinn Heiser, MS, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00191500 Issued in NJ

Practice address

2575 Foster Ave
Ann Arbor, MI 48108-1307

Phone

(321) 274-2373

NPI assigned

Feb 4, 2015

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1740670231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 FOSTER AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081307",
            "telephone_number": "321-274-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 FOSTER AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081307",
            "telephone_number": "321-274-2373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Princeton University",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "NJ",
            "postal_code": "085440001",
            "country_code": "US",
            "telephone_number": "609-258-3518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEISER",
        "first_name": "MICHELLE",
        "middle_name": "QUINN",
        "name_prefix": "Mrs.",
        "credential": "MS, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-04",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00191500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberley Pytlak Heinrich, PHD
• Laura Marie Heinz
• Wanda M Heinz, MS, LLP
• Stephen Paul Heirendt, D.O.
• Emily Rose Heires, CPHT
• Mary Ellen Michele Heisler, MD
• Tyler Eric Heitmann, MD
• Robert Joseph Heizelman II, M.D.
• Gwen F Hejna, PA
• Robert John Hejna, LSW, ACSW

• Athletic Trainer in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.