Individual provider Active NPI

Kimberly Heishman, RN

  • School Registered Nurse
  • Martinsburg, WV
National Provider Identifier
1841575222
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
44312 Issued in WV
Practice address
401 South Queen Street
Berkeley County Board of Education
Martinsburg, WV 25401
Phone
(304) 267-3595
Fax
(304) 267-3599
NPI assigned
Oct 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 44312 WV Primary

Addresses

Primary practice location

401 South Queen Street
Berkeley County Board of Education
Martinsburg, WV 25401

Mailing address

401 South Queen Street
Berkeley County Board of Education
Martinsburg, WV 25401
Phone (304) 267-3595

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
44312WVMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1841575222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SOUTH QUEEN STREET",
            "address_2": "BERKELEY COUNTY BOARD OF EDUCATION",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "25401",
            "telephone_number": "304-267-3595",
            "fax_number": "304-267-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SOUTH QUEEN STREET",
            "address_2": "BERKELEY COUNTY BOARD OF EDUCATION",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "25401",
            "telephone_number": "304-267-3595",
            "fax_number": "304-267-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEISHMAN",
        "first_name": "KIMBERLY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WV",
            "license": "44312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.