Individual provider Active NPI

Jennifer J Heinze, BS.,SP.ED

  • Specialist
  • Niagara Falls, NY
National Provider Identifier
1962993337
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
9812 Lockport Rd
Niagara Falls, NY 14304-1114
Phone
(716) 297-1478
Fax
(716) 205-0044
NPI assigned
May 22, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

9812 Lockport Rd
Niagara Falls, NY 14304-1114

Mailing address

3759 Creek Rd
Youngstown, NY 14174-9709
Phone (716) 940-5088

Other identifiers 1

IdentifierTypeStateIssuer
2748751OtherNYNYS LICENSE

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
Credentials
Bachelor of Science

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1962993337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3759 CREEK RD",
            "city": "YOUNGSTOWN",
            "state": "NY",
            "postal_code": "141749709",
            "telephone_number": "716-940-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9812 LOCKPORT RD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143041114",
            "telephone_number": "716-297-1478",
            "fax_number": "716-205-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINZE",
        "first_name": "JENNIFER",
        "middle_name": "J",
        "credential": "BS.,SP.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "2748751",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.