Individual provider Active NPI

Heather Aynne Vernillo, APRN

  • Family Nurse Practitioner
  • Palm Harbor, FL
National Provider Identifier
1124572011
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9330256 Issued in FL
Practice address
3060 Alt 19 Suite B4
Palm Harbor, FL 34683-1929
Phone
(727) 342-0155
Fax
(888) 561-5898
NPI assigned
Aug 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X APRN9330256 FL
Family Nurse Practitioner 363LF0000X APRN9330256 FL Primary

Addresses

Primary practice location

3060 Alt 19 Suite B4
Palm Harbor, FL 34683-1929

Mailing address

3060 Alt 19 Suite B4
Palm Harbor, FL 34683-1929
Phone (727) 342-0155

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.doximity.com/pub/heather-vernillo-np Direct

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
I20170626000553 FL Order and Referring Only - Nurse Practitioner 0042588501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN9330256FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1124572011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 ALT 19 SUITE B4",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346831929",
            "telephone_number": "727-342-0155",
            "fax_number": "888-561-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 ALT 19 SUITE B4",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346831929",
            "telephone_number": "727-342-0155",
            "fax_number": "888-561-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNILLO",
        "first_name": "HEATHER",
        "middle_name": "AYNNE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-08",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9330256",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9330256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.doximity.com/pub/heather-vernillo-np",
            "affiliation": "N",
            "endpointDescription": "doxmitry",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3060 Alt 19 # B-4",
            "city": "Palm Harbor",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346831929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.