Active NPI
Heather H Lucero, ARNP
- Nurse Practitioner
- Bradenton, FL
National Provider Identifier
1538464870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9192182
- Practice address
- 5255 Office Park Blvd
Suite207
Bradenton, FL 34203-3443 - Phone
- (941) 755-7000
- Fax
- (941) 755-7088
- NPI assigned
- Jan 18, 2011
- Last updated
- Apr 25, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP9192182 | FL | Primary |
Addresses
Primary practice location
5255 Office Park Blvd
Suite207
Bradenton, FL 34203-3443
Mailing address
5255 Office Park Blvd
Suite110
Bradenton, FL 34203-3443
Phone (941) 755-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003360200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9192182 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Federico a. Frias MD PA | Past | Accepting new patients | |
| Federico a. Frias MD PA | Past | Accepting new patients |
Organizations & group practices 2
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": "1295308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398384000000",
"number": "1538464870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5255 OFFICE PARK BLVD",
"address_2": "SUITE110",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342033443",
"telephone_number": "941-755-7000",
"fax_number": "941-755-7088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5255 OFFICE PARK BLVD",
"address_2": "SUITE207",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342033443",
"telephone_number": "941-755-7000",
"fax_number": "941-755-7088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCERO",
"first_name": "HEATHER",
"middle_name": "H",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-18",
"last_updated": "2014-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9192182",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003360200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.