HEIDI JO SOMMERS (NPI# 1457830556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457830556 |
| Entity Type | Individual |
| Full Name | HEIDI JO SOMMERS |
| Credential | APRN, AGPCNP-BC |
| Practice Address |
1131 W New Haven Ave Melbourne FL 32904-4110 |
| Mailing Address |
2530 Via Milano Ct Merritt Island FL 32953-4118 |
| Practice Telephone | 3214341744 |
| Mailing Telephone | 3216932838 |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2018-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
9269766 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1131 W NEW HAVEN AVE |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32904-4110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538461926 | Kelley Marie Mullican | Nurse Practitioner | 1131 W New Haven Ave, Suite 102, Melbourne, FL 32904-4055 | 2010-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063066512 | Shepherd's Heart Ministries | Counselor | 900 S Wickham Rd, Melbourne, FL 32904 | 2019-08-01 |
| 1588138663 | Nicholle C Rothengass | Physician Assistant | 2263 W New Haven Ave # 350, W Melbourne, FL 32904 | 2019-01-11 |
| 1114407020 | Natalie Havkin | Speech-Language Pathologist | 250 S Wickham Rd., Melbourne, FL 32904 | 2018-08-20 |
| 1184119299 | Marni B Simon | Speech-Language Pathologist | 565 Acacia Ave, Melbourne Village, FL 32904 | 2018-06-30 |
| 1821588625 | Walden Psychological Services, LLC | Psychologist | 3400 Willowwood Dr, Melbourne, FL 32904 | 2018-05-16 |
| 1598276271 | Donetta Gwin Reynolds | Early Intervention Provider Agency | 764 Triples Crown Lane, West Melbourne, FL 32904 | 2017-10-20 |
| 1598205221 | Marathon Health, LLC | General Practice | 2550 Wingate Boulevard, C/o Brevard Wellcare- South, West Melbourne, FL 32904 | 2017-02-28 |
| 1366875387 | Cancer Center of Melbourne LLC | Clinic/Center | 415 S. Wickham Rd., Melbourne, FL 32904 | 2013-08-13 |
| 1558704312 | Sandra Suzanne Borthwick | Social Worker | 569 Sylvia Rd, Melbourne, FL 32904 | 2013-04-11 |
| 1396983607 | Genesis | Skilled Nursing Facility | 2653 Reflections Pl, W. Melbourne, FL 32904 | 2009-01-23 |
| Find all providers in zip 32904 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316475171 | Jacqueline Hoskins | Nurse Practitioner | 2644 Kingsmill Ave, Melbourne, FL 32934-7583 | 2017-05-24 |
| 1255773701 | Mobile Physicians Group Inc | Nurse Practitioner | 1010 E New Haven Ave Ste B, Melbourne, FL 32901 | 2013-07-25 |
| 1598100893 | Serina Wisnewski | Nurse Practitioner | 2955 Pineda Plaza Way, Suite: 115, Melbourne, FL 32940-7318 | 2013-05-01 |
| 1841521176 | Leonora Lillian Conte | Nurse Practitioner | 325 Tangle Run Blvd Apt 1112, Melbourne, FL 32940-1831 | 2010-01-27 |
| 1407073943 | Paige Michelle Ahammer | Nurse Practitioner | 221 W Hibiscus Blvd, Suite 401, Melbourne, FL 32901-3044 | 2007-04-19 |
| 1326033085 | Michelle Wiedenhoeft | Nurse Practitioner | 3661 S Babcock St, 2nd Floor, Melbourne, FL 32901-8205 | 2005-09-19 |
| 1861491565 | Marva Edwards-marshall | Nurse Practitioner | 720 E New Haven Ave, Melbourne, FL 32901-5474 | 2005-07-15 |
| 1801891585 | Bruce Robert Simpkins | Nurse Practitioner | 3661 S Babcock St Fl 2, Melbourne, FL 32901-8205 | 2005-06-17 |
| 1053922476 | Cory Louis Nayfield | Nurse Practitioner | 2200 W Eau Gallie Blvd Ste 200, Melbourne, FL 32935-3166 | 2020-08-10 |
| 1558872606 | Julie Ann Starr | Nurse Practitioner | 8247 Devereux Dr Ste 102, Melbourne, FL 32940-8227 | 2017-10-17 |
| Find all providers in MELBOURNE | ||||
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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.