Individual provider Active NPI

Heidi H Cook, APRN

  • Family Nurse Practitioner
  • Brandon, FL
National Provider Identifier
1124577887
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9165104 Issued in FL
Practice address
621 W Lumsden Rd
Brandon, FL 33511-5911
Phone
(813) 755-3500
Fax
(813) 755-3300
NPI assigned
Sep 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9165104 FL
Family Nurse Practitioner 363LF0000X APRN9165104 FL Primary

Addresses

Primary practice location

621 W Lumsden Rd
Brandon, FL 33511-5911

Mailing address

1622 Tall Pines TRL
Lakeland, FL 33810-0186

Other practice location 1

1600 Lakeland Hills Blvd
Lakeland, FL 33805-3019
Phone (863) 680-7490

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
I20161028000477 FL Practitioner - Nurse Practitioner 4486932324 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HMV DiagnosticsGroup PAC ID 8123172020, 21 clinicians
Heart Vascular and Vein of Tampa Bay LLCGroup PAC ID 8628493376, 5 clinicians

Practice addresses (Care Compare)

5304 Mile Stretch Dr
Holiday, FL 34690-6060
Phone (877) 202-1191

621 W Lumsden Rd
Brandon, FL 33511-5911
Phone (813) 755-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9165104FLMDFamily Nurse Practitioner

Practice roles (5 of 7)

OrganizationSpecialtyStatusNew patients
Heart Vascular and Vein of Tampa Bay LLC CurrentSince Sep 1, 2025 Accepting new patients
Sunshine Pulmonary and Sleep Medicine P.a. CurrentSince Aug 3, 2025 Accepting new patients
Wound Technology Network Inc CurrentSince May 15, 2023 Accepting new patients
WT Health of Florida LLC CurrentSince Feb 10, 2025 Accepting new patients
Wound Technology Network Past Accepting new patients

Locations

621 W Lumsden Rd
Brandon, FL 33511
Phone (813) 655-1100

200 S Park Rd
Ste 200
Hollywood, FL 33021
Phone (866) 986-2263

5979 Vineland Rd
Ste 109
Orlando, FL 32819
Phone (407) 270-7702

10141 Big Bend Rd
Ste 201
Riverview, FL 33578
Phone (813) 684-3707

1901 Haverford Ave
Ste 111
Sun City Ctr, FL 33573
Phone (727) 231-0846

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 6

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": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1124577887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 TALL PINES TRL",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338100186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 W LUMSDEN RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115911",
            "telephone_number": "813-755-3500",
            "fax_number": "813-755-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Lakeland Hills Blvd",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338053019",
            "country_code": "US",
            "telephone_number": "863-680-7490",
            "fax_number": "866-264-8519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "HEIDI",
        "middle_name": "H",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-22",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9165104",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9165104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.