Active NPI
Deanne Fairley Heitzman, OTR/L
- Occupational Therapist
- Prescott Valley, AZ
National Provider Identifier
1922250117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0125
- Practice address
- 8766 E. Hwy 69
Humboldt Unified School District # 22/580
Prescott Valley, AZ 86314 - Phone
- (928) 759-4042
- Fax
- (928) 759-4030
- NPI assigned
- Oct 21, 2008
- Last updated
- Oct 21, 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0125 | AZ | Primary |
Addresses
Primary practice location
8766 E. Hwy 69
Humboldt Unified School District # 22/580
Prescott Valley, AZ 86314
Mailing address
8766 E. Hwy 69
Humboldt Unified School District # 22/550
Prescott Valley, AZ 86314
Phone (928) 759-4042
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0125 | AZ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224547200000",
"number": "1922250117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8766 E. HWY 69",
"address_2": "HUMBOLDT UNIFIED SCHOOL DISTRICT # 22/550",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "86314",
"telephone_number": "928-759-4042",
"fax_number": "928-759-4030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8766 E. HWY 69",
"address_2": "HUMBOLDT UNIFIED SCHOOL DISTRICT # 22/580",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "86314",
"telephone_number": "928-759-4042",
"fax_number": "928-759-4030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEITZMAN",
"first_name": "DEANNE",
"middle_name": "FAIRLEY",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-21",
"last_updated": "2008-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "0125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott Valley, AZ
- Healthcare Collection Inc (Bateman And Associates)
- Cindy Gaye Heath, LMFT
- Mindy Susan Hecht, MA, CCC-SLP
- Royce Lee Heffington Jr., PA-C
- Heidi Read FNP-BC PLLC (Read Family Medical Center)
- Lindsey Henderson, OTR/L, CHT
- Heidi W Henen
- Donald Herman, PHARM.D.
- Florencia Hernandez, DDS
- Chad Hetherwick, MS, RDN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.