HEATHER NUNNELLY (NPI# 1114458122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114458122 |
| Entity Type | Individual |
| Full Name | HEATHER NUNNELLY |
| Credential | PA-C |
| Practice Address |
1190 Nw 95th St Suite 101 Miami FL 33150-2063 |
| Practice Telephone | 3056912941 |
| Practice Fax Number | 3056964435 |
| Mailing Telephone | 3056912941 |
| Mailing Fax Number | 3056964435 |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2017-03-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9109811 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1190 NW 95TH ST SUITE 101 |
| City | MIAMI |
| State | FL |
| Zip Code | 33150-2063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639179278 | Scott Goldberg | Otolaryngology | 1190 Nw 95th St, # 200, Miami, FL 33150-2063 | 2005-07-26 |
| 1902416142 | Xt9 Corp | Internal Medicine | 1190 Nw 95th St, Suite 301, Miami, FL 33150 | 2020-08-03 |
| 1447719984 | Valerie Simon | Nurse Practitioner | 1190 Nw 95th St, Miami, FL 33150-2063 | 2019-03-14 |
| 1427406750 | Marc Guerrier | Nurse Practitioner | 1190 Nw 95th St, Miami, FL 33150-2063 | 2016-05-26 |
| 1588020010 | Jean-claude Crevecoeur | Nurse Practitioner | 1190 Nw 95th St, Miami, FL 33150-2063 | 2016-01-13 |
| 1700278322 | Eric Zephirin | Podiatrist | 1190 Nw 95th St, Suite 108, Miami, FL 33150-2063 | 2015-02-19 |
| 1023419991 | Interventional Radiology Specialists of Miami Inc | Radiology | 1190 Nw 95th St, Suite 301, Miami, FL 33150-2063 | 2014-09-10 |
| 1528483476 | Florida Regional Foot and Ankle Specialists Pllc | Assisted Living Facility | 1190 Nw 95th St, Suite 108, Miami, FL 33150-2063 | 2014-03-02 |
| 1033534433 | Luis Mariano Roqueta Sr. | Specialist/Technologist, Other | 1190 Nw 95th St, Ste # 306, Miami, FL 33150-2063 | 2014-02-22 |
| 1669714465 | Darline Francois | Nurse Practitioner | 1190 Nw 95th St, Miami, FL 33150-2063 | 2013-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417516600 | Arthur J. Iglesias, M.d. P.a. | Radiology | 1100 N.w. 95th Street, Cancer Center, Miami, FL 33150 | 2019-06-11 |
| 1841714052 | Rebecca Marie-danielle Anozier | Registered Nurse | 479 Nw 83rd St, Miami, FL 33150 | 2017-07-29 |
| 1972023976 | Charlotte Jenies | Behavior Technician | 1080 Nw 85 Th St, Miami, FL 33150 | 2017-06-21 |
| 1528501293 | Aneisha Samuels | Counselor | 291 Nw 104 Street, Miami Shores, FL 33150 | 2016-11-29 |
| 1568824977 | Francia Alexandre | Behavioral Analyst | 320 Nw 99th St, Miami, FL 33150 | 2016-03-24 |
| 1306201710 | Howard Lane | Counselor | 9198 Nw 8th Avenue, Miami, FL 33150 | 2015-12-30 |
| 1134598923 | Borinquen Health Care Center Inc | Clinic/Center | 1175 Nw 67 Street, Holmes Elementary, Miami, FL 33150 | 2015-09-22 |
| 1871988741 | Niveditha Bhaskarla | Psychiatry & Neurology | 1190 Nw 95th St Ste 110, Miami, FL 33150 | 2015-03-30 |
| 1821496852 | Affirming Youth Foundation, Inc. | Voluntary or Charitable | 150 Nw 79 Street, Suite 342, Miami, FL 33150 | 2014-12-08 |
| 1023440930 | Magda Demerritt | Social Worker | 7634 Nw 4th Ave, Miami, FL 33150 | 2013-08-01 |
| Find all providers in zip 33150 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346721552 | Carlos G Torres Dugarte | Physician Assistant | 9521 Fontainebleau Blvd Apt 424, Miami, FL 33172-6829 | 2018-08-25 |
| 1639672967 | Roberto Rodriguez Milanes | Physician Assistant | 1629 Nw 14th St Apt 911, Miami, FL 33125-2673 | 2018-03-13 |
| 1003316118 | Clelia Isabel Soto De Cayama | Physician Assistant | 7310 Sw 132nd Ave, Miami, FL 33183-3468 | 2018-02-15 |
| 1174041313 | Erin Shay | Physician Assistant | 9155 S Dadeland Boulevard, Penthouse One, Suite 1708, Miami, FL 33156 | 2017-09-08 |
| 1174055156 | Jarvis Viza | Physician Assistant | 20121 Sw 117th Ave, Miami, FL 33177 | 2017-03-30 |
| 1942658182 | Acosta Arnp, Pa. | Physician Assistant | 7800 Sw 87th Ave Ste A320, Miami, FL 33173-3570 | 2016-05-27 |
| 1417311622 | Ivan Lavandera Rodriguez | Physician Assistant | 7071 Sw 129th Ave, Apt 8, Miami, FL 33183-5299 | 2016-04-13 |
| 1215393848 | Andres Vence Nunez | Physician Assistant | 9040 Sw 125th Ave, Apt D 208, Miami, FL 33186-7103 | 2016-01-12 |
| 1710385430 | Guillermo Lazaro Garcia | Physician Assistant | 13958 Sw 160th Ter, Miami, FL 33177-1906 | 2014-12-11 |
| 1033547856 | Francisco A Perez-loreto | Physician Assistant | 11912 Sw 126th Ln, Miami, FL 33186-5196 | 2013-10-15 |
| Find all providers in MIAMI | ||||
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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.