Active NPI
Stacie Heinke, APRN
- Adult Health Nurse Practitioner
- Hamden, CT
National Provider Identifier
1962265280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 2403
- Practice address
- 1952 Whitney Ave
Hamden, CT 06517-1209 - Phone
- (203) 848-1803
- Fax
- (203) 848-1777
- NPI assigned
- Jan 31, 2024
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 2403 | CT | Primary |
Addresses
Primary practice location
1952 Whitney Ave
Hamden, CT 06517-1209
Mailing address
1952 Whitney Ave
Hamden, CT 06517-1209
Phone (203) 848-1803
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 |
|---|---|---|---|
| 2403 | CT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706659200000",
"number": "1962265280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1952 WHITNEY AVE",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065171209",
"telephone_number": "203-848-1803",
"fax_number": "203-848-1777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1952 WHITNEY AVE",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065171209",
"telephone_number": "203-848-1803",
"fax_number": "203-848-1777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINKE",
"first_name": "STACIE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-31",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CT",
"license": "2403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.