Heather Surrett-Vestal

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

120 Charlois Blvd
Winston Salem, NC 27103-1562

Phone

(336) 765-5664

NPI assigned

Nov 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144399809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 GRADE ST",
            "city": "RURAL HALL",
            "state": "NC",
            "postal_code": "270459772",
            "telephone_number": "704-527-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CHARLOIS BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031562",
            "telephone_number": "336-765-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURRETT-VESTAL",
        "first_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "3120",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Supreme Compassionate Care Incorporated
• Amish Chandrakant Sura, MD
• Andrea Suresh Rajkumar Aruldoss
• Carles Raylor Surles Jr., M.D.
• Lashay Ravon Surratt Sr.
• Cindy M Surrett, NP
• Sandarsh Surya, MBBS
• Sustaining Hands Home Care, LLC
• Emma Clare Sutovich, PA-C
• Alton Sutter, MD

• Physical Therapy Assistant in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.