Individual provider Active NPI

Thomeka T Heags, CNA, PCT

  • Licensed Vocational Nurse
  • Saint Clair Shores, MI
National Provider Identifier
1881838944
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
230251200698 Issued in MI
Practice address
21816 Lakeshire St # 806081
Saint Clair Shores, MI 48081-2862
Phone
(586) 601-8097
NPI assigned
Apr 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X MI
Driver 172A00000X MI
Chore ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 372500000X MI
Attendant Care Provider 3747A0650X MI
Personal Care Attendant 3747P1801X MI
Licensed Vocational Nurse 164X00000X 230251200698 MI Primary

Addresses

Primary practice location

21816 Lakeshire St # 806081
Saint Clair Shores, MI 48081-2862

Mailing address

21816 Lakeshire St # 806081
Saint Clair Shores, MI 48081-2862
Phone (586) 601-8097

Other identifiers 2

IdentifierTypeStateIssuer
1881838944OtherMIALL MEDICAL
1881838944MedicaidMI

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address Yowife@ymail.com Health Information Exchange (HIE)
Direct Messaging Address Yowife@ymail.com Health Information Exchange (HIE)
Direct Messaging Address Yowife@ymail.com Health Information Exchange (HIE)

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

State licenses

LicenseStateTypeSpecialty
230251200698MIMDLicensed Vocational Nurse

Interoperability endpoints

  • Direct secure messaging: yowife@ymail.com

NPI Registry JSON

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1881838944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21816 LAKESHIRE ST # 806081",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480812862",
            "telephone_number": "586-601-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21816 LAKESHIRE ST # 806081",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480812862",
            "telephone_number": "586-601-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAGS",
        "first_name": "THOMEKA",
        "middle_name": "T",
        "name_prefix": "Miss",
        "credential": "CNA, PCT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-20",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "MI",
            "license": "230251200698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL MEDICAL",
            "identifier": "1881838944",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881838944",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Yowife@ymail.com",
            "affiliation": "N",
            "endpointDescription": "Emat",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Mail",
            "address_1": "21816 Lakeshire St",
            "city": "Saint Clair Shores",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480812862",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Yowife@ymail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "21816 Lakeshire St",
            "city": "Saint Clair Shores",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480812862",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Yowife@ymail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "useOtherDescription": "All",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "All",
            "address_1": "21816 Lakeshire St",
            "city": "Saint Clair Shores",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480812862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.