DR. JAMIE HEIMAN (NPI# 1083786859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083786859 |
| Entity Type | Individual |
| Full Name | DR. JAMIE HEIMAN |
| Other Name | JAMIE HOLLIS-HEIMEN |
| Credential | DC |
| Practice Address |
4100 Dewey St Manitowoc WI 54220-5497 |
| Practice Telephone | 9206865700 |
| Practice Fax Number | 9206865726 |
| Mailing Telephone | 9206865700 |
| Mailing Fax Number | 9206865726 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2018-01-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 3816-012 | WI | Chiropractic Providers |
| Y | 363L00000X | Nurse Practitioner | 7455 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | BCBS | 161708205012 | 01 |
| Street Address |
4100 DEWEY ST |
| City | MANITOWOC |
| State | WI |
| Zip Code | 54220-5497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497739288 | Michal Chiu | Pediatrics | 4100 Dewey St, Manitowoc, WI 54220-5497 | 2005-12-05 |
| 1821567041 | Leeza Peterson | Physical Therapy Assistant | 4100 Dewey St, Manitowoc, WI 54220-5497 | 2018-11-16 |
| 1285186510 | Brett J Leiknes | Family Medicine | 4100 Dewey St, Manitowoc, WI 54220 | 2016-11-03 |
| 1942617220 | Samantha Klinkner | Nurse Practitioner | 4100 Dewey St, Manitowoc, WI 54220-5497 | 2014-07-17 |
| 1790112050 | Eric L Peterson | Nurse Practitioner | 4100 Dewey St, Manitowoc, WI 54220-5497 | 2013-10-02 |
| 1326280611 | Andrea Jo Poulson-port | Family Medicine | 4100 Dewey St, Manitowoc, WI 54220-5497 | 2009-04-01 |
| 1619116191 | Steven G Chilinski | Emergency Medicine | 4100 Dewey St, Manitowoc, WI 54220-5497 | 2009-02-06 |
| 1164681896 | Gregory Shoichi Ishimoto | Family Medicine | 4100 Dewey St, Manitowoc, WI 54220-5497 | 2008-06-06 |
| 1801941075 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 4100 Dewey St, Manitowoc, WI 54220-5497 | 2007-01-25 |
| 1639188360 | M Anne Baumgardt | Pediatrics | 4100 Dewey St, Manitowoc, WI 54220 | 2006-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235614843 | Katherine Borchardt | Registered Nurse | 3520 Foxfire Ct, Manitowoc, WI 54220 | 2018-09-28 |
| 1285128215 | Aurora Pharmacy Inc | Pharmacy | 3509 Dewey Street, Suite 100, Manitowoc, WI 54220 | 2018-06-22 |
| 1477937274 | Baycare Clinic LLP | Psychiatry & Neurology | 4801 Expo Drive, Manitowoc, WI 54220 | 2015-07-13 |
| 1831593821 | Brittany Camille Schultz | Acupuncturist | 2510 Washington Street, Manitowoc, WI 54220 | 2014-10-20 |
| 1710311261 | Brian E Weitz | Physical Therapy Assistant | 960 S. Rapids Rd., Manitowoc, WI 54220 | 2013-09-01 |
| 1134499080 | Total Renal Care Inc | Clinic/Center | 3303 Dewey St, Manitowoc, WI 54220 | 2012-01-10 |
| 1679858534 | Lisa M Noworatzky | Marriage & Family Therapist | 926 S. 8th St., Manitowoc, WI 54220 | 2011-10-11 |
| 1306177225 | Cynthia Fay Wenzel | Licensed Practical Nurse | 915 East Linden Avenue, Manitowoc, WI 54220 | 2010-01-15 |
| 1851550628 | Roundys Supermarkets Inc | Pharmacy | 3300 Calumet Ave, Manitowoc, WI 54220 | 2008-06-05 |
| 1851566079 | Jennifer C Mcwilliams | Registered Nurse | 1004 Nth 8th St., Manitowoc, WI 54220 | 2008-04-29 |
| Find all providers in zip 54220 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407029036 | Ellen Luciel Eddleman | Nurse Practitioner | 1100 S 30th St, Manitowoc, WI 54220-5594 | 2008-04-03 |
| 1437132701 | Lee A Werner | Nurse Practitioner | 339 Reed Ave, Manitowoc, WI 54220-2020 | 2005-11-21 |
| 1699386367 | Nicole Sixel | Nurse Practitioner | 1650 S 41st St, Manitowoc, WI 54220-7316 | 2020-08-14 |
| 1922651827 | Nahal Rahmanpanah | Nurse Practitioner | 3509 Dewey St, Manitowoc, WI 54220-5813 | 2019-07-19 |
| 1912420852 | Kimberly M Hennings | Nurse Practitioner | 3509 Dewey St, Manitowoc, WI 54220 | 2017-07-24 |
| 1437527389 | Melissa Koss | Nurse Practitioner | 2021 S Alverno Rd, Manitowoc, WI 54220-9208 | 2015-09-09 |
| 1568838951 | Kathleen Marie Boettcher | Nurse Practitioner | 3509 Dewey St, Manitowoc, WI 54220-5813 | 2015-08-19 |
| 1790160729 | Ashley Micksch | Nurse Practitioner | 1900 Woodland Dr, Manitowoc, WI 54220-9662 | 2015-07-20 |
| 1487037859 | Sarah Reveal | Nurse Practitioner | 1650 S 41st St, Manitowoc, WI 54220-7316 | 2015-07-03 |
| 1063809499 | Veronica Mcfarlane | Nurse Practitioner | 1650 S 41st St, Manitowoc, WI 54220-7316 | 2015-04-23 |
| Find all providers in MANITOWOC | ||||
Please comment or provide details below to improve the information on DR. JAMIE HEIMAN.
| 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.