Marianne Butler Heeringa, RN

Primary specialty

Nutrition Support Registered NurseTaxonomy code 163WN1003X

License

105134 Issued in SC

Practice address

443 Congaree Rd
Greenville, SC 29607-2742

Phone

(864) 329-7437

NPI assigned

Apr 2, 2020

Last updated

Apr 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1942839923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 LAKE LYMAN HTS",
            "city": "LYMAN",
            "state": "SC",
            "postal_code": "293659759",
            "telephone_number": "864-329-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 CONGAREE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072742",
            "telephone_number": "864-329-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEERINGA",
        "first_name": "MARIANNE",
        "middle_name": "BUTLER",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN1003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nutrition Support",
            "state": "SC",
            "license": "105134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCLLR",
            "identifier": "105134",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Greenville",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF",
            "address_1": "443 Congaree Rd",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296072742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erin Nicole Hedgpeth
• Emily Hedrich, SPEECH-PATHOLOGIST C
• Phillip Lee Hedrick, ATC
• Kelly Heegard, M.D.
• Dawn Martin Heeke, RD, LD
• Andrew Tyler Heffernan, M.D.
• Mary Katherine Campbell Heffernan, PT
• Nathan Heffington, FNP-BC
• Ryan Christopher Hefty, PHARMD
• Amanda Marie Heidbreder, CRNA

• Registered Nurse in Greenville, SC
• Providers in Greenville, SC by specialty
• Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.