Individual provider Active NPI

Heather Garofalo, FNP-C

  • Family Nurse Practitioner
  • Palm Coast, FL
National Provider Identifier
1225564693
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP9212241 Issued in FL
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

Updated by the provider on May 4, 2017

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170801002643 FL Practitioner - Nurse Practitioner 4880965359 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NP9212241FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
John G Symeonides M D LLC CurrentSince May 11, 2017 Accepting new patients

Locations

145 Cypress Point Pkwy
Ste 105
Palm Coast, FL 32164
Phone 3862385654901

Interoperability endpoints

  • FHIR API: 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

Verify at the official NPI Registry.