Individual provider Active NPI

Heidi Marie Gimness, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Plant City, FL
National Provider Identifier
1114711348
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11038665 Issued in FL
Practice address
1703 Thonotosassa Rd Ste a
Plant City, FL 33563-4202
Phone
(813) 567-5679
Fax
(813) 567-5686
NPI assigned
Apr 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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 APRN11038665 FL Primary

Addresses

Primary practice location

1703 Thonotosassa Rd Ste a
Plant City, FL 33563-4202

Mailing address

1703 Thonotosassa Rd
Plant City, FL 33563-4201
Phone (813) 567-5679

Other identifiers 2

IdentifierTypeStateIssuer
NPFILE2036672OtherCAINITIAL FURNISHING APRN APPLICATION CA BRN- PENDING STATUS
APRN11038665OtherFLFL BRN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250430003612 FL Practitioner - Nurse Practitioner 6800312919 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medical Specialists of Florida PLC CurrentSince Apr 17, 2025 Accepting new patients

Locations

1703 Thonotosassa Rd
Ste B
Plant City, FL 33563

1703 Thonotosassa Rd
Ste A
Plant City, FL 33563
Phone (813) 567-5679

1703 Thonotosassa Rd
Plant City, FL 33563
Phone (813) 567-5679

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1743724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1114711348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 THONOTOSASSA RD",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335634201",
            "telephone_number": "813-567-5679",
            "fax_number": "813-567-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 THONOTOSASSA RD STE A",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335634202",
            "telephone_number": "813-567-5679",
            "fax_number": "813-567-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIMNESS",
        "first_name": "HEIDI",
        "middle_name": "MARIE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-04",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11038665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INITIAL FURNISHING APRN APPLICATION CA BRN- PENDING STATUS",
            "identifier": "NPFILE2036672",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BRN",
            "identifier": "APRN11038665",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

Verify at the official NPI Registry.