Active NPI
Heather Marie Pero, FNP
- Family Nurse Practitioner
- Rochester, NY
National Provider Identifier
1104139005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F336377-1
- Practice address
- 1415 Portland Ave Ste 445
Rochester, NY 14621 - Phone
- (585) 922-4371
- Fax
- (585) 922-7485
- NPI assigned
- Jul 20, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 336377 | NY | |
| Family Nurse Practitioner | 363LF0000X | F336377-1 | NY | Primary |
Addresses
Primary practice location
1415 Portland Ave Ste 445
Rochester, NY 14621
Mailing address
100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 922-0553
Other practice location 1
301 West Ave
Albion, NY 14411-1522
Phone (585) 589-5613
Other practice location 2
105 Canal Landing Blvd Ste 1
Rochester, NY 14626-5107
Phone (585) 368-4050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03388676 | Medicaid | NY | |
| 12128226 | Other | NY | CAQH |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hpero273944@direct.urmc.rochester.edu | Direct | |
| Direct Messaging Address | hpero273944@direct.urmc.rochester.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F336377-1 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689984000000",
"number": "1104139005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 KINGS HWY S",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146175504",
"telephone_number": "585-922-0553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 PORTLAND AVE STE 445",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14621",
"telephone_number": "585-922-4371",
"fax_number": "585-922-7485"
}
],
"practiceLocations": [
{
"address_1": "301 West Ave",
"address_purpose": "LOCATION",
"city": "Albion",
"state": "NY",
"postal_code": "144111522",
"country_code": "US",
"telephone_number": "585-589-5613",
"fax_number": "585-589-0872",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "105 Canal Landing Blvd Ste 1",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146265107",
"country_code": "US",
"telephone_number": "585-368-4050",
"fax_number": "585-723-6705",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERO",
"first_name": "HEATHER",
"middle_name": "MARIE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-20",
"last_updated": "2023-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "336377",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F336377-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03388676",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12128226",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hpero273944@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hpero273944@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.