Individual provider Active NPI

Christian Patrick Heinzelman

  • Registered Nurse
  • Winston Salem, NC
National Provider Identifier
1821905803
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
340894 Issued in NC
Practice address
807 Trillium LN
Winston Salem, NC 27127-6074
Phone
(512) 426-7004
NPI assigned
Aug 26, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 340894 NC Primary

Addresses

Primary practice location

807 Trillium LN
Winston Salem, NC 27127-6074

Mailing address

807 Trillium LN
Winston Salem, NC 27127-6074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1821905803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 TRILLIUM LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271276074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 TRILLIUM LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271276074",
            "telephone_number": "512-426-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINZELMAN",
        "first_name": "CHRISTIAN",
        "middle_name": "PATRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-26",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "340894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.