Heather Michelle Gliem, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

15-02140 Issued in KS

Practice address

300 Utah St FL 2
Hiawatha, KS 66434-2314

Phone

(785) 742-2161

Fax

(785) 742-6554

NPI assigned

Sep 22, 2018

Last updated

Aug 26, 2019By the provider in NPPES

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

Other identifiers 1

Other names 1

• Heather Michelle Herrmann Former name

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: hgliem@pediatricstopeka.opdirect.net

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

{
    "created_epoch": "1537574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1801370150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 UTAH ST",
            "city": "HIAWATHA",
            "state": "KS",
            "postal_code": "664342314",
            "telephone_number": "785-742-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 UTAH ST FL 2",
            "city": "HIAWATHA",
            "state": "KS",
            "postal_code": "664342314",
            "telephone_number": "785-742-2161",
            "fax_number": "785-742-6554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Utah St",
            "address_purpose": "LOCATION",
            "city": "Hiawatha",
            "state": "KS",
            "postal_code": "664342314",
            "country_code": "US",
            "telephone_number": "785-742-2131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 W Main St",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "KS",
            "postal_code": "660354143",
            "country_code": "US",
            "telephone_number": "785-442-3213",
            "fax_number": "785-442-5572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLIEM",
        "first_name": "HEATHER",
        "middle_name": "MICHELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-22",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-02140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201223150A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "HERRMANN",
            "middle_name": "MICHELLE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Maggie Ryan Gilliland, LMLP
• Melissa J Gilliland
• Rachael Marie Gladhart
• Mandy R Graham
• Steven Henry Gunnells, CRNA, APRN
• Lanie Guynn, LMSW, LMAC
• Jordan Danell Haedt, D.D.S.
• Chelsea Elizabeth Hamilton, M.S.

• Physician Assistant in Hiawatha, KS
• Providers in Hiawatha, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.