Michelle Heckman, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT005410 Issued in OH

Practice address

4403 Far Hills Ave
Kettering, OH 45429-2405

Phone

(937) 395-3920

NPI assigned

Nov 14, 2017

Last updated

Nov 14, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510617600000",
    "number": "1932612850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 HOLLANSBURG SAMPSON RD",
            "city": "ARCANUM",
            "state": "OH",
            "postal_code": "453049664",
            "telephone_number": "937-423-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 FAR HILLS AVE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454292405",
            "telephone_number": "937-395-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECKMAN",
        "first_name": "MICHELLE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT005410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hearthstone Psychology LLC
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• Heartland Hospice Services, LLC (ProMedica Hospice (Dayton))
• Heartland of Kettering Oh LLC (ProMedica Skilled Nursing and Rehabilitation (Kettering))
• Heartland Pharmacy LLC
• Nicholas Hehmann, DO
• David Aaron Heidrich, DO
• Lucas William Heinemann, M.D.
• Lisa M Hemphill, ACNP
• Stephen Robert Henderschedt, MD

• Athletic Trainer in Kettering, OH
• Providers in Kettering, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; 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.