Individual provider Active NPI

Heather Dickin

  • Family Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1073071866
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F10180506 Issued in FL
Practice address
13137 Sorrento Rd
Pensacola, FL 32507-8777
Phone
(850) 416-0020
Fax
(850) 492-6340
NPI assigned
Mar 11, 2019
Last updated
Aug 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F10180506 FL Primary

Addresses

Primary practice location

13137 Sorrento Rd
Pensacola, FL 32507-8777

Mailing address

11706 Aruba Dr
Pensacola, FL 32506-1214
Phone (850) 637-3067

Other practice location 1

5151 N 9th Ave
Pensacola, FL 32504-8721
Phone (850) 416-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190425002624 FL Practitioner - Nurse Practitioner 3779825534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sacred Heart Health System IncGroup PAC ID 3779491386, 373 clinicians

Practice addresses (Care Compare)

13137 Sorrento Rd
Pensacola, FL 32507-8777
Phone (850) 416-0020

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F10180506FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health System, Inc. CurrentSince Aug 1, 2019 Accepting new patients
Sacred Heart Health System Inc CurrentSince Aug 1, 2019 Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients

Locations

13137 Sorrento Rd
Pensacola, FL 32507
Phone (850) 416-0020

4501 N Davis Hwy
Ste A
Pensacola, FL 32503
Phone (850) 476-9000

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

Interoperability endpoints

  • Direct secure messaging: heather.dickin.1@9582.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1073071866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11706 ARUBA DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325061214",
            "telephone_number": "850-637-3067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13137 SORRENTO RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325078777",
            "telephone_number": "850-416-0020",
            "fax_number": "850-492-6340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5151 N 9th Ave",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325048721",
            "country_code": "US",
            "telephone_number": "850-416-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKIN",
        "first_name": "HEATHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F10180506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.