Active NPI
Heaven Ratleff
- Licensed Practical Nurse
- Saint Petersburg, FL
National Provider Identifier
1386014710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN5235893
- Practice address
- 11601 4TH St N Apt 1605
Saint Petersburg, FL 33716-2742 - Phone
- (330) 274-7550
- NPI assigned
- Sep 28, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN159808 | OH | |
| Adult Companion | 372600000X | |||
| Personal Care Attendant | 3747P1801X | |||
| Homemaker | 376J00000X | |||
| Licensed Practical Nurse | 164W00000X | PN5235893 | FL | Primary |
Addresses
Primary practice location
11601 4TH St N Apt 1605
Saint Petersburg, FL 33716-2742
Mailing address
11601 4TH St N Apt 1605
Saint Petersburg, FL 33716-2742
Phone (330) 274-7550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN5235893 | FL | MD | Licensed Practical Nurse |
| PN159808 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542240000000",
"number": "1386014710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11601 4TH ST N APT 1605",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337162742",
"telephone_number": "330-274-7550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11601 4TH ST N APT 1605",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337162742",
"telephone_number": "330-274-7550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATLEFF",
"first_name": "HEAVEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-28",
"last_updated": "2018-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN159808",
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "FL",
"license": "PN5235893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.