Heather S Niece, P.A.-C.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9110084 Issued in FL

Practice address

4863 Palm Coast Pkwy NW Unit 2
Palm Coast, FL 32137-3665

Phone

(386) 222-7746

Fax

(386) 310-2381

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, FL2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Lopez Pain Management LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Palm Coast, FL
  • NPI 1871032466
  Medicare reassignment NPD (past)
• Lopez Pain Management LLC

  • Interventional Pain Medicine Physician
  • Spring Hill, FL
  • NPI 1902655731
  NPD
• Consultants in Pain Medicine, LLC

  • Interventional Pain Medicine Physician
  • Brunswick, GA
  • NPI 1902852130
  NPD

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1225198286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8727 BRIERWOOD RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174814",
            "telephone_number": "904-305-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4863 PALM COAST PKWY NW UNIT 2",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373665",
            "telephone_number": "386-222-7746",
            "fax_number": "386-310-2381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1564 Kingsley Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320734521",
            "country_code": "US",
            "telephone_number": "904-264-8801",
            "fax_number": "904-621-0566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIECE",
        "first_name": "HEATHER",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "004936",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie M Ngalame, PHARM.D
• Andrew Nguyen
• Tennyson Nguyen, DMD
• Deanna Nichols, RN
• Justin Nichols
• Steven Kent Nieminen
• Nakia Nkansah, LPN
• Melissa Ada Noeth, DPT
• John Nolan
• Katrina Noll

• Physician Assistant in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.

Verify at the official NPI Registry.