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Kimberly Heacock
NPI 1417775404 · Early Intervention Provider Agency · Bunker Hill, WV
Kimberly Heacock is a Early Intervention Provider Agency provider in Bunker Hill, WV (NPI 1417775404).
Provider details
- NPI number
- 1417775404
- Entity type
- Individual
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Profile Score
Basic profile(49/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2002 Goldmiller Rd
Bunker Hill, WV 25413-3571
Phone: (304) 596-7792
Street-level locationGet directions
Mailing address
2002 Goldmiller Rd
Bunker Hill, WV 25413-3571
Registry dates
- Enumerated
- 2024-09-30
- Last updated
- 2024-09-30
- Certified
- 2024-09-30
Frequently asked questions
- What is Kimberly Heacock's NPI number?
- Kimberly Heacock's National Provider Identifier (NPI) is 1417775404, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly Heacock's specialty?
- Kimberly Heacock is listed in the NPPES registry with a primary specialty of Early Intervention Provider Agency (Agencies).
- Where is Kimberly Heacock located?
- Kimberly Heacock's practice location on file with NPPES is 2002 Goldmiller Rd, Bunker Hill, WV 25413-3571.
- What is Kimberly Heacock's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Heacock is (304) 596-7792.
- Is Kimberly Heacock's NPI active?
- Yes — Kimberly Heacock's NPI (1417775404) is active in the NPPES registry as of the last update on 2024-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.