Active NPI
Heather Garofalo, FNP-C
- Family Nurse Practitioner
- Palm Coast, FL
National Provider Identifier
1225564693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP9212241
- Practice address
- 145 Cypress Point Pkwy
Suite105
Palm Coast, FL 32164-8426 - Phone
- (386) 283-5654
- NPI assigned
- May 4, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP9212241 | FL | Primary |
Addresses
Primary practice location
145 Cypress Point Pkwy
Suite105
Palm Coast, FL 32164-8426
Mailing address
145 Cypress Point Pkwy
Suite105
Palm Coast, FL 32164-8426
Phone (386) 283-5654
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170801002643 | FL | Practitioner - Nurse Practitioner | 4880965359 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP9212241 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John G Symeonides M D LLC | Current | Accepting new patients |
Locations
145 Cypress Point Pkwy
Ste 105
Palm Coast, FL 32164
Phone 3862385654901
Interoperability endpoints
- https://api.platform.athenahealth.com/11843/brand/1/csg/1/fhir/r4
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": "1493856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493856000000",
"number": "1225564693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 CYPRESS POINT PKWY",
"address_2": "SUITE105",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321648426",
"telephone_number": "386-283-5654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 CYPRESS POINT PKWY",
"address_2": "SUITE105",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321648426",
"telephone_number": "386-283-5654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAROFALO",
"first_name": "HEATHER",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-04",
"last_updated": "2017-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "NP9212241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.