Devan Myrinda Heronemus, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-05902 Issued in KS

Practice address

10074 Woodland Dr
Lenexa, KS 66220-3802

Phone

(913) 764-0389

Fax

(139) 764-0391

NPI assigned

May 25, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Devan Myrinda Coleman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1992296941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10074 WOODLAND DR",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662203802",
            "telephone_number": "913-764-0389",
            "fax_number": "139-764-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERONEMUS",
        "first_name": "DEVAN",
        "middle_name": "MYRINDA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-25",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2018023462",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-05902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEVAN",
            "last_name": "COLEMAN",
            "middle_name": "MYRINDA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stacy Rae Henn, M.A., CCC-SLP
• Lysha Henneberg
• Claire Elizabeth Henson
• Pablo J Hernandez-Rios, MD
• Clara Hernandez, RPH
• Bridgette Herrin Mavec, LCSW
• Shawn Allen Herrman, DC
• Andrew Vaughan Herwig, DDS
• Caryn Hess, LPC
• Rebekah Angel Hess

• Physical Therapist in Lenexa, KS
• Providers in Lenexa, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.