Active NPI
Heather Aynne Vernillo, APRN
- Family Nurse Practitioner
- Palm Harbor, FL
National Provider Identifier
1124572011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN9330256
- 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
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170626000553 | FL | Order and Referring Only - Nurse Practitioner | 0042588501 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9330256 | FL | MD | Family 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.