Heather Fiveson

Primary specialty

Other TechnicianTaxonomy code 247200000X

License

RBT-18-65898 Issued in FL

Practice address

1818 S Australian Ave Ste 420
West Palm Beach, FL 33409-6447

Phone

(855) 832-6727

NPI assigned

Aug 21, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Foundations Therapy, Inc.

  • Hearing and Speech Clinic/Center
  • Coral Springs, FL
  • NPI 1013660083
  NPD (past)
• Foundations Therapy, Inc.

  • Early Intervention Provider Agency
  • Coral Springs, FL
  • NPI 1639219389
  NPD (past)

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1467978452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 S AUSTRALIAN AVE STE 420",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 S AUSTRALIAN AVE STE 420",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096447",
            "telephone_number": "855-832-6727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3325 N University Dr",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330654162",
            "country_code": "US",
            "telephone_number": "954-344-6550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIVESON",
        "first_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "FL",
            "license": "RBT-18-65898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Elizabeth Fitzgerald, LCSW
• Nia S Fitzgerald, CNA
• Patrick Fitzgerald, D.M.D.
• Kaela Jean Fitzpatrick, DPT
• Five Star ABA Services Corp.
• Fiza Investment Inc
• FL Vision Care LLC
• FL-I Medical Services, P.a.
• Braden Donovan Flack
• Flagler Emergency Physicians

• Other Technician in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Other Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.

Verify at the official NPI Registry.