Active NPI
Catherine Heilig, CRNP
- Family Nurse Practitioner
- Prince Frederick, MD
National Provider Identifier
1982759411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R129094
- Practice address
- 985 Prince Frederick Blvd Ste 201
Prince Frederick, MD 20678-3492 - Phone
- (410) 535-2005
- Fax
- (410) 535-4850
- NPI assigned
- Jan 24, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | N41334 | MD | |
| Family Nurse Practitioner | 363LF0000X | R129094 | MD | Primary |
Addresses
Primary practice location
985 Prince Frederick Blvd Ste 201
Prince Frederick, MD 20678-3492
Mailing address
985 Prince Frederick Blvd Ste 201
Prince Frederick, MD 20678-3492
Phone (410) 535-2005
Other practice location 1
110 Hospital Rd Ste 310
Prince Frederick, MD 20678-4041
Phone (410) 535-2005
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 320500200 | Medicaid | MD | |
| 500029459 | Other | MD | RAILROAD MEDICARE |
| 68754202 | Other | MD | CAREFIRST OF MARYLAND |
| C0410025 | Other | DC | CAREFIRST OF DC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N41334 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calvert Digestive Disease Associates, Endoscopy and Surgery Center LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Glenn G. Marinelli MD PA | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Prince Frederick, MD
- NPI 1174682298
-
- Endoscopy Clinic/Center
- Prince Frederick, MD
- NPI 1699219766
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Otolaryngology Physician
- Prince Frederick, MD
- NPI 1780854885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508803200000",
"number": "1982759411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "985 PRINCE FREDERICK BLVD STE 201",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "206783492",
"telephone_number": "410-535-2005",
"fax_number": "410-535-4850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "985 PRINCE FREDERICK BLVD STE 201",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "206783492",
"telephone_number": "410-535-2005",
"fax_number": "410-535-4850"
}
],
"practiceLocations": [
{
"address_1": "110 Hospital Rd Ste 310",
"address_purpose": "LOCATION",
"city": "Prince Frederick",
"state": "MD",
"postal_code": "206784041",
"country_code": "US",
"telephone_number": "410-535-2005",
"fax_number": "410-535-4850",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEILIG",
"first_name": "CATHERINE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2017-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "N41334",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R129094",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "320500200",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "500029459",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST OF MARYLAND",
"identifier": "68754202",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST OF DC",
"identifier": "C0410025",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prince Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.