WILLIAM FREDRICK HEINEKE (NPI# 1083751416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083751416 |
| Entity Type | Individual |
| Full Name | WILLIAM FREDRICK HEINEKE |
| Credential | ED. D. |
| Practice Address |
501 S. Burma Ave. Gillette WY 82717 |
| Mailing Address |
P.o. Box 3011 Gillette WY 82717 |
| Practice Telephone | 3076885000 |
| Practice Fax Number | 3076885015 |
| Mailing Telephone | 3076885000 |
| Mailing Fax Number | 3076885015 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2013-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
LMFT 53 | WY | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
LPC 346 | WY | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
PSYCHOLOGIST 423 | WY | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
LMFT53 | WY | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
LPC346 | WY | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP423 | WY | Behavioral Health & Social Service Providers |
| Street Address |
501 S. BURMA AVE. |
| City | GILLETTE |
| State | WY |
| Zip Code | 82717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033100953 | Bernadette Veronica Meade | Internal Medicine | 501 S. Burma Ave., Gillette, WY 82716-3246 | 2005-10-31 |
| 1558672253 | Vijaya Madhavi Koduri | Pediatrics | 501 S. Burma Ave., Gillette, WY 82716-3246 | 2010-06-28 |
| 1730275835 | Sherri Lynn Blanchard | Family Medicine | 501 S. Burma Ave., Gillette, WY 82716-3246 | 2006-10-05 |
| 1427151778 | Timothy Dean Bohlender | Family Medicine | 501 S. Burma Ave., Gillette, WY 82716-3246 | 2006-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417019589 | William Henry Monahan | Counselor | 501 S. Burma Avenue, Gillette, WY 82717 | 2006-12-15 |
| 1376605444 | Robin K Voigt | Counselor | 501 S. Burma Avenue, Gilette, WY 82717 | 2006-12-15 |
| 1447312517 | Jody Franchi Ewing | Counselor | 501 S. Burma Avenue, Gillette, WY 82717 | 2006-12-15 |
| 1780747477 | Kevin N. Wood | Counselor | 501 S. Burma Avenue, Gillette, WY 82717-3011 | 2006-12-18 |
| 1982767679 | Jamie S Hurich | Counselor | 501 S. Burma Avenue, Gillette, WY 82717-3011 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606177 | Crysta Jean Sullivan | Nurse Practitioner | 2401 Greenway Dr, Gillette, WY 82716-2333 | 2020-10-10 |
| 1962009811 | Natalie Murphy | Physical Therapist | 620 4 J Ct Unit B, Gillette, WY 82716-4130 | 2020-10-05 |
| 1114531118 | Wyoming Medical Associates, LLC | Clinic/Center | 1013 E Boxelder Rd Ste 210, Gillette, WY 82718-5941 | 2020-09-07 |
| 1639783335 | Advanced Surgical Care of Wyoming, LLC | Clinic/Center | 51 Town Center Dr Ste 140, Gillette, WY 82718-5521 | 2020-09-01 |
| 1174132799 | Tera Marie Harvel | Clinical Nurse Specialist | 501 S Burma, Gillette, WY 82716-8271 | 2020-07-29 |
| 1497363766 | Darylene L Wadsack | Social Worker | 501 Burma Ave., Gillette, WY 82716-8271 | 2020-07-22 |
| 1679191118 | Hannah Rose Beltz | Lactation Consultant, Non-RN | 5508 Roany Rd, Gillette, WY 82718-8477 | 2020-07-10 |
| 1851919427 | Ivyrehab Network, Inc. | Physical Medicine & Rehabilitation | 977 Valley Rd Unit G, Gillette, NJ 07933-1813 | 2020-07-10 |
| 1164040226 | Paula Marie Monlux | Registered Nurse | 2500 Dove Rd, Gillette, WY 82718-7109 | 2020-07-06 |
| 1376169128 | Jodi Thornhill | Day Training, Developmentally Disabled Services | 900 Camel Dr. Ste. Gg, Pmb #154, Gillette, WY 82716-4974 | 2020-06-17 |
| Find all providers in GILLETTE | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164670626 | Summit Health Associates, LLC | Psychologist | 405 W Boxelder Rd Ste A1, Gillette, WY 82718-5320 | 2008-09-08 |
| 1891854709 | Robert Joseph Innes | Psychologist | 33 Alpine Drive, Gillette, WY 82718 | 2006-12-06 |
| 1942525951 | Brooke L England | Psychologist | 501 S Burma Ave, Gillette, WY 82716-3426 | 2010-04-01 |
| 1114168762 | Susan Elizabeth Fisher | Psychologist | 405 W Boxelder Rd, Suite A-1, Gillette, WY 82718-5320 | 2009-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639700750 | Unaccompanied Student Initiative | Psychologist | 910 W Fox Farm Rd, Cheyenne, WY 82007-2674 | 2020-01-28 |
| 1730731696 | Shaina Smith | Psychologist | 1401 Airport Pkwy Ste 240, Cheyenne, WY 82001-1542 | 2019-07-11 |
| 1538623020 | Caitilin Barrett | Psychologist | 1215 Jessi Dr, Cheyenne, WY 82009-1880 | 2019-01-29 |
| 1043756174 | Maribeth L. Hesser | Psychologist | 6675 N Upper Cascade Dr, Jackson, WY 83001-9390 | 2017-01-12 |
| 1811346943 | Bryan David Peltier | Psychologist | 125 Fox Hills Dr, Green River, WY 82935-7100 | 2016-06-09 |
| 1558760207 | Victoria Menghetti Smith | Psychologist | 3510 N Lake Creek Dr, Wilson, WY 83014-9695 | 2014-08-19 |
| 1508283946 | Christine Mckibbin | Psychologist | 2524 Dover Dr, Laramie, WY 82072-2990 | 2014-03-24 |
| 1609140706 | Casper Family Connections | Psychologist | 500 S Wolcott St Ste 102, Casper, WY 82601-2882 | 2012-03-07 |
| 1417246869 | John C Dolores | Psychologist | 5303 Mountain Rd, Apt C, Cheyenne, WY 82009-5049 | 2011-04-06 |
| 1164726766 | Marc Douglas Mclaughlin | Psychologist | 205 S Broadway Ave, Riverton, WY 82501-4349 | 2010-12-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.