Nikki Herbert

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

2403 E Henry Ave
Tampa, FL 33610-4434

Phone

(813) 988-7633

Fax

(813) 914-0403

NPI assigned

Apr 6, 2011

Last updated

May 23, 2013By the provider in NPPES

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

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": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1225327570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36100 LAKE CHASE BLVD UNIT 201",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335410936",
            "telephone_number": "813-368-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 E HENRY AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336104434",
            "telephone_number": "813-988-7633",
            "fax_number": "813-914-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBERT",
        "first_name": "NIKKI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-06",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001451200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Theresa Herbert
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• Sarah Elizabeth Herdocia, APRN
• Clarillette Heredia, M.A.
• Kayla Heredia

• Developmental Therapist in Tampa, FL
• Providers in Tampa, FL by specialty
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.