Betty Ann Herron, OWNER OPERATOR

Primary specialty

ContractorTaxonomy code 171W00000X

License

332B00000X Issued in FL

Practice address

7200 San Miguel Dr
Port Richey, FL 34668-5031

Phone

(727) 848-3468

Fax

(727) 842-6401

NPI assigned

Jun 17, 2008

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

Other identifiers 1

Other names 1

• Mr. Kenneth Edward Herron Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Syrnix, Inc

  • Durable Medical Equipment & Medical Supplies
  • Port Richey, FL
  • NPI 1518131424
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1396905972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 SAN MIGUEL DR",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346685031",
            "telephone_number": "727-848-3468",
            "fax_number": "727-842-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 SAN MIGUEL DR",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346685031",
            "telephone_number": "727-848-3468",
            "fax_number": "727-842-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRON",
        "first_name": "BETTY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "OWNER OPERATOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "FL",
            "license": "332B00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNT",
            "identifier": "332B00000X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENNETH",
            "last_name": "HERRON",
            "middle_name": "EDWARD",
            "prefix": "MR.",
            "credential": "CHAIRMAN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ioannis J Helidonas, DDS
• Tracey Hendrix, LPN
• Herman S. Goh, DMD, P.a.
• Elizabeth Ann Hernandez
• Terrance Herr
• Caroline Jeanne Hill, APRN
• Julie Stephanie Hinojosa, PA-C
• Holiday CVS LLC
• Holiday CVS LLC
• Katie Schoneck Holloway, OD

• Contractor in Port Richey, FL
• Providers in Port Richey, FL by specialty
• Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.