MRS. KIMBERLY NICOLE HEIFNER FNP
NPI 1437794773
Nurse Practitioner - Family in Ellisville, MO

Active since November 11, 2019
16111 MANCHESTER ROAD, ELLISVILLE, MO 63011(636) 751-9440(515) 631-5129 Get Directions Write a Review

NPPES record last updated: December 14, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 14, 2022, Nov 11, 2019 (2 updates tracked since 2019).

About Mrs. Kimberly Nicole Heifner Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KIMBERLY NICOLE HEIFNER FNP (NPI 1437794773) is an individual family provider in Ellisville, Missouri, licensed in Missouri (2019042207) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1437794773
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KIMBERLY NICOLE HEIFNERCredential: FNP
Location Address16111 MANCHESTER ROADEllisville, MO 63011
Mailing Address16111 Manchester RoadEllisville, MO 63011 · (636) 751-9440 · Fax (515) 631-5129
Fax(515) 631-5129
Sole ProprietorNo
Enumeration DateNovember 11, 2019
Last NPPES UpdateDecember 14, 20222 updates tracked since enumeration
NPPES CertifiedDecember 14, 2022
NPI 1437794773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MO · 2019042207
16111 MANCHESTER ROAD, Ellisville, MO 63011

Other Names 1

Former Name (1)Kimberly Nicole Ottensmeyer

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
16111 MANCHESTER ROAD, SUITE 202
ELLISVILLE, MO 63011
Dentist
16111 MANCHESTER ROAD, SUITE 202
ELLISVILLE, MO 63011

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437794773, enumerated as an "individual" on November 11, 2019.

The provider is located at 16111 MANCHESTER ROAD ELLISVILLE, MO 63011 and the phone number is (636) 751-9440.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Oscar Insurance Company. Please consult your insurance carrier or call the provider to verify.