Heather M Kannheiser

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ01255900 Issued in NJ

Practice address

890 Bennetts Mills Rd
Jackson, NJ 08527-2736

Phone

(732) 367-7530

NPI assigned

Dec 15, 2021

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1770242844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 BENNETTS MILLS RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272736",
            "telephone_number": "732-367-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 BENNETTS MILLS RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272736",
            "telephone_number": "732-367-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANNHEISER",
        "first_name": "HEATHER",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-15",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01255900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simon Kadosh, MD
• Lindsay Nicole Kaffl
• Leslie Denis Kalash, R.PH.,M.S.PHARM.
• Ettil Kamenetzky, MS ED BCBA
• Nicole Panza Kania, LPC
• Malav D Kanuga
• Christine Amelia Karg
• Roopal M. Karia-Patel, MD
• Rachel Karunaratne
• Harriet Phyllis Kazansky, LCSW

• Family Nurse Practitioner in Jackson, NJ
• Providers in Jackson, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.