Jason Heeter, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT5163 Issued in TX

Practice address

6100 Main St
Ms 548
Houston, TX 77005-1827

Phone

(713) 348-6363

NPI assigned

Mar 29, 2016

Last updated

Mar 29, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459209600000",
    "number": "1861855793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 MAIN ST",
            "address_2": "MS 548",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770051827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 MAIN ST",
            "address_2": "MS 548",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770051827",
            "telephone_number": "713-348-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEETER",
        "first_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT5163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corbin Hedt
• Hedwig ASC (Houston PremierSurgery Center the Villages)
• Hedwig Surgical Associates PA
• Emily Heerensperger, MD
• Timothy Edward Heerensperger, MD
• Dennis Christopher Heffernan, CRNA
• Kenny Joseph Heffernan, CRNA
• Meagan Frost Hefley, CPNP-PC
• Stephanie M Heflin, R.N, ANP-C
• Yvette Heflin, FNP

• Athletic Trainer in Houston, TX
• Providers in Houston, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.