Active NPI
Heather Leann Anderson
- Nurse Practitioner
- Cape Coral, FL
National Provider Identifier
1336706548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- INPROCESS
- Practice address
- 1407 Viscaya Pkwy Ste 2
Cape Coral, FL 33990-6200 - Phone
- (239) 772-0111
- Fax
- (239) 772-0267
- NPI assigned
- May 22, 2019
- Last updated
- Aug 28, 2020
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | INPROCESS | FL | Primary |
Addresses
Primary practice location
1407 Viscaya Pkwy Ste 2
Cape Coral, FL 33990-6200
Mailing address
17215 Castleview Dr
N Fort Myers, FL 33917-3825
Phone (239) 872-0792
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1299 E Commercial Blvd
Suite 201
Oakland Park, FL 33334-4806
Phone (720) 631-1142
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| INPROCESS | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Villagehealth DM LLC | Current | Accepting new patients |
Locations
1299 E Commercial Blvd
Ste 201
Oakland Park, FL 33334
Phone (720) 631-1142
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598572800000",
"number": "1336706548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17215 CASTLEVIEW DR",
"city": "N FORT MYERS",
"state": "FL",
"postal_code": "339173825",
"telephone_number": "239-872-0792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1407 VISCAYA PKWY STE 2",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339906200",
"telephone_number": "239-772-0111",
"fax_number": "239-772-0267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "HEATHER",
"middle_name": "LEANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-22",
"last_updated": "2020-08-28",
"certification_date": "2020-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "INPROCESS",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.