Amanda Heesacker

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

5264241 Issued in FL

Practice address

6350 22ND Ave N
St Petersburg, FL 33710-4106

Phone

(407) 347-4331

NPI assigned

Apr 20, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1776643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1225973134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 22ND AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337104106",
            "telephone_number": "407-347-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 22ND AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337104106",
            "telephone_number": "407-347-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEESACKER",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-20",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "5264241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soley Hechavarria
• Casey Hedemann
• Brian Stanton Hedrick, DO
• Kristyn Noelle Hedrick, NNP-BC
• Randall Thomas Hedrick, D.D.S.
• Caroline Grace Heeter
• Cory Hegedus, PT
• Christina Heidenberger, PA
• Chelsea Heidish
• Scott Daniel Heikka, L.M.T.

• Licensed Practical Nurse in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.