Individual provider Active NPI

Donna Mae Heburn, APRN

  • Family Nurse Practitioner
  • Madeira Beach, FL
National Provider Identifier
1215026430
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP3175702 Issued in FL
Practice address
15129 Madeira Beach Way
Madeira Beach, FL 33708-3536
Phone
(850) 322-6231
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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 ARNP3175702 FL Primary

Addresses

Primary practice location

15129 Madeira Beach Way
Madeira Beach, FL 33708-3536

Mailing address

15129 Madeira Way
Madeira Beach, FL 33708-1963
Phone (850) 322-6231

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
I20170301000616 FL Practitioner - Nurse Practitioner 3375634017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

1819 W Tennessee St
Tallahassee, FL 32304-3356
Phone (866) 389-2727

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Family CurrentSince Jan 2, 2017 Accepting new patients

Locations

6651 N Military Trl
Ste 100
Boca Raton, FL 33496
Phone (561) 998-3747

121 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-6380

15129 Madeira Way
Madeira Beach, FL 33708
Phone (317) 502-0974

12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 538-8473

8765 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 740-6840

7599 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 352-0943

1819 W Tennessee St
Tallahassee, FL 32304
Phone (850) 264-4732

611 S Howard Ave
Tampa, FL 33606
Phone (401) 770-4415

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1215026430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15129 MADEIRA WAY",
            "city": "MADEIRA BEACH",
            "state": "FL",
            "postal_code": "337081963",
            "telephone_number": "850-322-6231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15129 MADEIRA BEACH WAY",
            "city": "MADEIRA BEACH",
            "state": "FL",
            "postal_code": "337083536",
            "telephone_number": "850-322-6231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBURN",
        "first_name": "DONNA",
        "middle_name": "MAE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP3175702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madeira Beach, FL

Sources for this page

Verify at the official NPI Registry.