Individual provider Active NPI

Heidi Lynn Garguilo, DNP

  • Family Nurse Practitioner
  • Palm Beach Gardens, FL
National Provider Identifier
1265402333
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3075062 Issued in FL
Practice address
7783 Cannon Ball Rd
Palm Beach Gardens, FL 33418-7808
Phone
(561) 691-3260
Fax
(561) 691-3260
NPI assigned
Jan 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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 3075062 FL Primary

Addresses

Primary practice location

7783 Cannon Ball Rd
Palm Beach Gardens, FL 33418-7808

Mailing address

7783 Cannon Ball Rd
Palm Beach Gardens, FL 33418-7808
Phone (561) 691-3260

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
I20110323000704 FL Practitioner - Nurse Practitioner 3870776131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7783 Cannon Ball Rd
Palm Beach Gardens, FL 33418-7808
Phone (561) 512-8681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HLG Medical Inc CurrentSince Jan 27, 2021 Accepting new patients
Aloupis Dermatology, PA PastSince Oct 1, 2019 Accepting new patients

Organizations & group practices 2

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1265402333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7783 CANNON BALL RD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334187808",
            "telephone_number": "561-691-3260",
            "fax_number": "561-691-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7783 CANNON BALL RD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334187808",
            "telephone_number": "561-691-3260",
            "fax_number": "561-691-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARGUILO",
        "first_name": "HEIDI",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "3075062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.