Heather Justina Pooler, DOM, AP, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP4085 Issued in FL

Practice address

111 2ND Ave NE Ste 705
Saint Petersburg, FL 33701-3441

Phone

(727) 677-8006

NPI assigned

Sep 26, 2023

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": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1336928563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 6TH AVE NE APT 7",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337013022",
            "telephone_number": "813-981-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 2ND AVE NE STE 705",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337013441",
            "telephone_number": "727-677-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLER",
        "first_name": "HEATHER",
        "middle_name": "JUSTINA",
        "credential": "DOM, AP, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP4085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Peter Polubinski, PH.D., D.O.M.
• Polymath Psychiatric Physicians, PLLC
• Jaimie Lee Pomares, RN, CCRN
• Bari Pomper, MS
• Jennifer Poole
• Jeffrey Michael Pope
• Matthew Keith Popejoy, CRNA
• Luis Guillermo Porte, APRN
• Porter Psychiatry LLC
• Danielle D Porter, APRN, PMHNP

• Acupuncturist in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.