Individual provider Active NPI

William John Heim, MS, ATC

  • Athletic Trainer
  • Amarillo, TX
National Provider Identifier
1740802537
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT7702 Issued in TX
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

Updated by the provider on May 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
AT7702TXMDAthletic 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.

Verify at the official NPI Registry.