Active NPI
Clare Heintzelman, FNP-C
- Obstetrics & Gynecology Physician
- Washington, DC
National Provider Identifier
1801539820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- NP1040993
- Practice address
- 4001 Brandywine St NW Ste 300
Washington, DC 20016-1876 - Phone
- (202) 449-9570
- NPI assigned
- Apr 18, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | NP1040993 | DC | Primary |
Addresses
Primary practice location
4001 Brandywine St NW Ste 300
Washington, DC 20016-1876
Mailing address
4001 Brandywine St NW Ste 300
Washington, DC 20016-1876
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1700 17TH St NW
Apt 503
Washington, DC 20009-2419
4001 Brandywine St NW
Washington, DC 20016-1876
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP1040993 | DC | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloom OB GYN, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
4001 Brandywine St NW
Ste 300
Washington, DC 20016
Phone (202) 449-9570
Interoperability endpoints
- clare.heintzelman.1@14179.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Washington, DC
- NPI 1093168809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650240000000",
"number": "1801539820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 BRANDYWINE ST NW STE 300",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200161876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 BRANDYWINE ST NW STE 300",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200161876",
"telephone_number": "202-449-9570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINTZELMAN",
"first_name": "CLARE",
"name_prefix": "Ms.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-18",
"last_updated": "2022-04-18",
"certification_date": "2022-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "DC",
"license": "NP1040993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.