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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kelli Elise Heacock, CRNA

Certified Registered Nurse Anesthetist in Shawnee Mission, KS · enumerated 2024.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1962267211

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Registry record

Entity type Individual (Type 1)
Name Kelli Elise Heacock
Credential CRNA
Sex Female
Practice address 9100 W 74th St, Shawnee Mission, KS, 66204
Fax (913) 632-2297
Enumeration date Feb 15, 2024
Last updated in NPPES Jun 18, 2025

Taxonomy & licenses

390200000X Student in an Organized Health Care Education/Training Program Student, Health Care Secondary
367500000X Certified Registered Nurse Anesthetist Physician Assistants & Advanced Practice Nursing Providers · License 558290 (KS) Primary
CRNA · Certified Registered Nurse Anesthetist: An advanced practice nurse specializing in anesthesia care. About the CRNA credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1962267211 active?
Yes, as of the latest NPPES snapshot, NPI 1962267211 is active (record last updated 2025-06-18).
How do I verify Kelli Heacock's NPI record?
Cross-check NPI 1962267211 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-18.