ALESHA AVIS HEINZ (NPI# 1669969424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669969424 |
| Entity Type | Individual |
| Full Name | ALESHA AVIS HEINZ |
| Practice Address |
57950 Leavenworth Street, Suite 4e1 Mcconnell Afb KS 67221-3506 |
| Mailing Address |
1701 W Charleston Blvd Ste 400 Las Vegas NV 89102-2320 |
| Practice Telephone | 3167595116 |
| Practice Fax Number | 3167596553 |
| Mailing Telephone | 7026712273 |
| Mailing Fax Number | 7023859399 |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2020-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| N | 171000000X | Military Health Care Provider | Other Service Providers |
| Street Address |
57950 LEAVENWORTH STREET, SUITE 4E1 |
| City | MCCONNELL AFB |
| State | KS |
| Zip Code | 67221-3506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922528421 | Rose Lee Samples | Nurse Practitioner | 51950 Leavenworth St., Family Health Clinic 22 Mdg, Mcconnell Afb, KS 67221 | 2017-06-26 |
| 1114247913 | Dawn Marie Clifton | Nurse Practitioner | 57950 Leavenworth Ave Bldg 250, 22d Medical Group, Mcconnell Afb, KS 67221 | 2010-06-03 |
| 1467514489 | 22nd Medical Group | Pharmacy | 57590 Leavenworth Bldg 250, Mcconnell Afb, KS 67221 | 2006-12-15 |
| 1336182153 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | Derby Street, Building 352, Mcconnell Afb, KS 67221 | 2006-06-13 |
| 1578919049 | Kathryn Rachel Kocher | Pediatrics | 57950 Leavenworth St, Mcconnell Afb, KS 67221 | 2016-05-13 |
| 1962707067 | Melissa M Wendt | Physician Assistant | 57950 Leavenworth St Ste 4e1, Mcconnell Afb, KS 67221 | 2011-01-20 |
| 1922232271 | Richard Jimenez Rubi | Military Health Care Provider | 22 Mdg, Mcconnell Afb, KS 67221 | 2009-05-14 |
| 1871581306 | Joshua A Hartman | Emergency Medicine | 57950 Leavenworth St Bldg 248, Mcconnell Afb, KS 67221-3505 | 2005-10-10 |
| 1184242604 | Lindsey Allison Cunningham | Dentist | 57950 Leavenworth St, Wichita, KS 67221-3505 | 2020-07-10 |
| 1164052700 | Taylor Holloway | Family Medicine | 57950 Leavenworth St Bldg 250, Mcconnell Afb, KS 67221-3505 | 2020-01-23 |
| Find all providers in zip 67221 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144721150 | Daniel Belgam | Student in an Organized Health Care Education/Training Program | 57950 Leavenworth St, Mcconnell Afb, KS 67221-3506 | 2018-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758901 | Matthew Michael Buhrle | Student in an Organized Health Care Education/Training Program | 3029 Sherman Ave, Hays, KS 67601-2040 | 2020-10-25 |
| 1275131245 | Michelle Sugimura | Student in an Organized Health Care Education/Training Program | 426 Olive St Apt 2, Leavenworth, KS 66048-2749 | 2020-10-13 |
| 1578172250 | Mallory Kate Revell | Student in an Organized Health Care Education/Training Program | 1701 S Broadway S, Irene Ransom Bradley School of Nursing, Psu, Pittsburg, KS 66762 | 2020-07-28 |
| 1992314678 | Kelcey Odaniel | Student in an Organized Health Care Education/Training Program | 9321 Ballentine St, Overland Park, KS 66214-1810 | 2020-07-28 |
| 1245849967 | Shelbie Cosby | Student in an Organized Health Care Education/Training Program | 1701 S. Broadway St, Irene Ransom Bradley School of Nursing, Pittsburg, KS 66762 | 2020-07-28 |
| 1144845645 | Sri Harsha Kanuri | Student in an Organized Health Care Education/Training Program | 5100 W 119th St Ste 200, Overland Park, KS 66209-1527 | 2020-06-10 |
| 1831713429 | Guerrero Ivan Lopez | Student in an Organized Health Care Education/Training Program | 206 N Higgins Ave, Macksville, KS 67557-5761 | 2020-05-30 |
| 1598389215 | Alexandra K Jewell | Student in an Organized Health Care Education/Training Program | 13136 Birch St, Overland Park, KS 66209-2918 | 2020-05-29 |
| 1235753880 | Danika Marie Burton | Student in an Organized Health Care Education/Training Program | 1511 Cortez Ave, Coffeyville, KS 67337-1044 | 2020-05-29 |
| 1043833791 | Ryan David Brantley | Student in an Organized Health Care Education/Training Program | 1202 W 24th Ave Unit A, Hutchinson, KS 67502-3491 | 2020-05-28 |
| Find all providers with the same taxonomy | ||||
| City | MCCONNELL AFB |
| Zip Code | 67221 |
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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.