Individual provider Active NPI

Heather Ashley Homrighouse, PA-C

  • Physician Assistant
  • Jacksonville, FL
National Provider Identifier
1396579553
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9119345 Issued in FL
Practice address
6675 Corporate Center Pkwy Ste 115
Jacksonville, FL 32216-8088
Phone
(904) 245-8910
NPI assigned
Aug 29, 2024
Last updated
Dec 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9119345 FL Primary

Addresses

Primary practice location

6675 Corporate Center Pkwy Ste 115
Jacksonville, FL 32216-8088

Mailing address

6675 Corporate Center Pkwy Ste 115
Jacksonville, FL 32216-8088

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
I20250107002817 FL Practitioner - Physician Assistant 3577091362 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eric Weinstock MD PAGroup PAC ID 0143309922, 8 clinicians

Practice addresses (Care Compare)

1300 N W Shore Blvd
240 The Florida Psychiatric Center
Tampa, FL 33607-4629
Phone (813) 636-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA9119345FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eric Weinstock MD PA CurrentSince Oct 1, 2025 Accepting new patients

Locations

1300 N West Shore Blvd
Ste 24
Tampa, FL 33607
Phone (813) 636-8300

1300 N West Shore Blvd
Ste 240
Tampa, FL 33607
Phone (813) 636-8300

Interoperability endpoints

  • Direct secure messaging: thefloridapsychiatriccenter.heatherhomrighouse@160033.advancedmd-direct.com

Organizations & group practices 3

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": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1396579553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6675 CORPORATE CENTER PKWY STE 115",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6675 CORPORATE CENTER PKWY STE 115",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168088",
            "telephone_number": "904-245-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMRIGHOUSE",
        "first_name": "HEATHER",
        "middle_name": "ASHLEY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9119345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.