Beverly Ann Heinking, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS5866 Issued in FL

Practice address

300 Pinewood Dr SW
Live Oak, FL 32064-4029

Phone

(386) 362-1014

Fax

(386) 362-5076

NPI assigned

Jan 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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

• Ipn Emergency Physicians of North Florida PA

  • Emergency Medicine Physician
  • Starke, FL
  • NPI 1619287158
  NPD (past)
• Live Oak Hma Medical Group, LLC

  • Family Medicine Physician
  • Live Oak, FL
  • NPI 1740509991
  NPD (past)

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1073593737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PINEWOOD DR SW",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320644029",
            "telephone_number": "386-362-1014",
            "fax_number": "386-362-5076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PINEWOOD DR SW",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320644029",
            "telephone_number": "386-362-1014",
            "fax_number": "386-362-5076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINKING",
        "first_name": "BEVERLY",
        "middle_name": "ANN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS5866",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R9F01",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/C",
            "identifier": "80431",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradley Michael Harrison, APRN PMHNP
• Michelle J Hart, MSED, BCBA
• Kay Harvard
• Ashley Nicole Hawkins
• Healing Hands of Suwannee County, LLC
• Melissa Helphrey
• Helping Hand Home Health Services, LLC (Jade Serenity Massage)
• Michelle Henderson
• Heather Herron
• Hideas LLC (The Farm)

• Family Medicine Physician in Live Oak, FL
• Providers in Live Oak, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.