Heather Hyacinth Burrell, LPN

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

PN5158591 Issued in FL

Practice address

1821 Dora Ave Apt 144
Tavares, FL 32778-5765

Phone

(352) 508-5368

Fax

(352) 508-5368

NPI assigned

Feb 29, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1477827970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 DORA AVE APT 144",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785765",
            "telephone_number": "352-508-5368",
            "fax_number": "352-508-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 DORA AVE APT 144",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785765",
            "telephone_number": "352-508-5368",
            "fax_number": "352-508-5368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRELL",
        "first_name": "HEATHER",
        "middle_name": "HYACINTH",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "FL",
            "license": "PN5158591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Jay Bullard, MD
• Don S Burgos, M.D.
• Sumiko Burley- Collins
• Kelvin Burnett Jr.
• Christy Burns
• C. B. Care, Inc (Nurse Next Door The Villages)
• Alejandro A Caballero, MD
• Susan Glenn Caddell, D.D.S.
• Sabine Cadet, CRNA
• Joseph Ryan Caggiano, M.S., MSW,LCSW

• Exclusive Provider Organization in Tavares, FL
• Providers in Tavares, FL by specialty
• Exclusive Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.