Active NPI
Judith Heggen, DO
- Pediatric Critical Care Medicine Physician
- Des Moines, IA
National Provider Identifier
1891780730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 3455
- Practice address
- 1111 6TH Ave
Main 3
Des Moines, IA 50314-2613 - Phone
- (515) 246-9620
- Fax
- (515) 643-8316
- NPI assigned
- Sep 16, 2005
- 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 |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | 3455 | IA | Primary |
Addresses
Primary practice location
1111 6TH Ave
Main 3
Des Moines, IA 50314-2613
Mailing address
PO Box 4925
Des Moines, IA 50306-4925
Phone (515) 246-9620
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1269498 | Medicaid | IA | |
| 13700 | Other | IA | WELLMARK BLUE CROSS |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274832000000",
"number": "1891780730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4925",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503064925",
"telephone_number": "515-246-9620",
"fax_number": "515-643-8316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 6TH AVE",
"address_2": "MAIN 3",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503142613",
"telephone_number": "515-246-9620",
"fax_number": "515-643-8316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEGGEN",
"first_name": "JUDITH",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-16",
"last_updated": "2010-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "IA",
"license": "3455",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1269498",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BLUE CROSS",
"identifier": "13700",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.