Individual provider Active NPI

Heather A Haverfield, D.C.

  • Chiropractor
  • Bradenton, FL
National Provider Identifier
1366595910
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9178 Issued in FL
Practice address
3126 53Rd Ave. E. SR70
Bradenton, FL 34203-4311
Phone
(941) 752-3352
NPI assigned
Jan 18, 2007
Last updated
May 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9178 FL Primary

Addresses

Primary practice location

3126 53Rd Ave. E. SR70
Bradenton, FL 34203-4311

Mailing address

110 W Shell Point Rd
Ruskin, FL 33570-3705
Phone (941) 752-3352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070726000034 FL Practitioner - Chiropractic 5092816645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

207 W Shell Point Rd
Ruskin, FL 33570-3706
Phone (813) 841-1118

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2541OHMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
T and G Inc Chiropractor CurrentSince Sep 7, 2013 Accepting new patients
Havro Inc Chiropractor PastSince Sep 5, 2013 Accepting new patients

Locations

110 W Shell Point Rd
Ruskin, FL 33570
Phone (813) 841-1118

207 W Shell Point Rd
Ruskin, FL 33570
Phone (813) 841-1118

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, 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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1366595910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W SHELL POINT RD",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335703705",
            "telephone_number": "941-752-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3126 53RD AVE. E. SR70",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342034311",
            "telephone_number": "941-752-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVERFIELD",
        "first_name": "HEATHER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.