Individual provider Active NPI

Kristine Virginia Heist, LMT, BCTMB

  • Massage Therapist
  • Newark, DE
National Provider Identifier
1780194167
Registry record updated Oct 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT0001815 Issued in DE
Practice address
16C Polly Drummond Hill Rd
Newark, DE 19711-5703
Phone
(302) 584-7064
NPI assigned
Oct 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT0001815 DE Primary

Addresses

Primary practice location

16C Polly Drummond Hill Rd
Newark, DE 19711-5703

Mailing address

8 Rankin Rd
Newark, DE 19711-4851
Phone (302) 584-7064

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

State licenses

LicenseStateTypeSpecialty
MT0001815DEMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507680000000",
    "number": "1780194167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 RANKIN RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197114851",
            "telephone_number": "302-584-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16C POLLY DRUMMOND HILL RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197115703",
            "telephone_number": "302-584-7064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIST",
        "first_name": "KRISTINE",
        "middle_name": "VIRGINIA",
        "name_prefix": "Ms.",
        "credential": "LMT, BCTMB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2017-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "DE",
            "license": "MT0001815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; 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.