Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Kathleen M Heitkamp, FNP-C

Individual provider Registered Nurse · NPI 1154837136

Mrs. Kathleen M Heitkamp, FNP-C is a Nurse Practitioner in Maria Stein, Ohio. Graduated from Vanderbilt University School of Medicine in 2017, 9 years ago. Practices with Jtdm Family Practice LLC, a 48-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
9
Trained at
Vanderbilt University School of Medicine
Licensed in
OH
In the registry since
2017
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

8381 State Route 119
Maria Stein, OH 45860-9701
Phone: (419) 925-4613
Fax: (419) 925-4168
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.021992 (OH)
Registered Nurse Taxonomy 163W00000X · Licence RN.427848 (OH)

Record details

NPI number1154837136
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedDecember 28, 2017
Last updated in NPPESApril 2, 2024
Certification dateApril 2, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Jtdm Family Practice Llc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount