Active NPI
William John Heim, MS, ATC
- Athletic Trainer
- Amarillo, TX
National Provider Identifier
1740802537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT7702
- Practice address
- 1616 S Kentucky St Ste A116
Amarillo, TX 79102-2250 - Phone
- (806) 242-1122
- NPI assigned
- May 14, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT7702 | TX | Primary |
Addresses
Primary practice location
1616 S Kentucky St Ste A116
Amarillo, TX 79102-2250
Mailing address
571 Tahmore Dr
Fairfield, CT 06825-2515
Other practice location 1
181 W Meadow Dr Ste 400
Vail, CO 81657-5058
Phone (970) 476-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT7702 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589414400000",
"number": "1740802537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "571 TAHMORE DR",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068252515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 S KENTUCKY ST STE A116",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791022250",
"telephone_number": "806-242-1122"
}
],
"practiceLocations": [
{
"address_1": "181 W Meadow Dr Ste 400",
"address_purpose": "LOCATION",
"city": "Vail",
"state": "CO",
"postal_code": "816575058",
"country_code": "US",
"telephone_number": "970-476-1100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEIM",
"first_name": "WILLIAM",
"middle_name": "JOHN",
"credential": "MS, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-14",
"last_updated": "2020-05-14",
"certification_date": "2020-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT7702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.