Active NPI
Heather Ailein Kim, D.O.
- Pediatrics Physician
- San Antonio, TX
National Provider Identifier
1891954533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- P4335
- Practice address
- 11398 Bandera Rd
Suite 201
San Antonio, TX 78250-6840 - Phone
- (210) 543-7334
- NPI assigned
- Jun 6, 2008
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | P4335 | TX | Primary |
Addresses
Primary practice location
11398 Bandera Rd
Suite 201
San Antonio, TX 78250-6840
Mailing address
11398 Bandera Rd
Suite 201
San Antonio, TX 78250-6840
Phone (512) 947-4180
Other names 1
- Dr. Heather Ailein Andersen
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": "1212710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346803200000",
"number": "1891954533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11398 BANDERA RD",
"address_2": "SUITE 201",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782506840",
"telephone_number": "512-947-4180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11398 BANDERA RD",
"address_2": "SUITE 201",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782506840",
"telephone_number": "210-543-7334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "HEATHER",
"middle_name": "AILEIN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-06",
"last_updated": "2012-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "P4335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "ANDERSEN",
"middle_name": "AILEIN",
"prefix": "DR.",
"credential": "D.O.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.