Individual provider Active NPI

Heather Simmons, MSN, FNP, APRN

  • Family Nurse Practitioner
  • Clearwater, FL
National Provider Identifier
1467479063
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN3378572 Issued in FL
Practice address
1478 Jordan Hills CT
Clearwater, FL 33756-2368
Phone
(727) 461-3896
Fax
(727) 443-4085
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0001180564 VA
Nurse Practitioner 363L00000X 104345 TX
Nurse Practitioner 363L00000X RN967019 DC
Family Nurse Practitioner 363LF0000X APRN3378572 FL Primary

Addresses

Primary practice location

1478 Jordan Hills CT
Clearwater, FL 33756-2368

Mailing address

1478 Jordan Hills CT
Clearwater, FL 33756-2368
Phone (727) 461-3896

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
I20041118000239 FL Practitioner - Nurse Practitioner 6901860006 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Overlea-Fullerton Chiropractic Center PCGroup PAC ID 9032178421, 4 clinicians

Practice addresses (Care Compare)

5317 Village Market
Wesley Chapel, FL 33544-8451
Phone (813) 994-6008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0001180564VAMDEmergency Medicine Physician
RN967019DCMDNurse Practitioner
104345TXMDNurse Practitioner
APRN3378572FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Overlea-Fullerton Chiropractic Center PC CurrentSince Dec 1, 2025 Accepting new patients
Phoenix Integrated Medical Center Nurse Practitioner CurrentSince Mar 10, 2025 Accepting new patients
Joint Regeneration of Florida LLC Nurse Practitioner CurrentSince Apr 1, 2023 Accepting new patients
Bayside Emergency Pyhsicians, LLP Emergency Medicine Past Accepting new patients
Emergency Coverage Services, PC Nurse Practitioner Past Accepting new patients
Bayside Emergency Physicians, LLP Emergency Medicine Past Accepting new patients

Locations

120 State St E
Ste 104
Oldsmar, FL 34677
Phone (813) 556-7440

5317 Village Market
Wesley Chapel, FL 33544
Phone (813) 994-6008

1936 Lee Rd
Ste 137
Winter Park, FL 32789
Phone (407) 637-8300

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1467479063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1478 JORDAN HILLS CT",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337562368",
            "telephone_number": "727-461-3896",
            "fax_number": "727-443-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1478 JORDAN HILLS CT",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337562368",
            "telephone_number": "727-461-3896",
            "fax_number": "727-443-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "HEATHER",
        "credential": "MSN, FNP,  APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0001180564",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "104345",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "RN967019",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN3378572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.