Individual provider Active NPI

Heather R Tempest, APRN

  • Pediatric Nurse Practitioner
  • Clermont, FL
National Provider Identifier
1548783756
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN11005743 Issued in FL
Practice address
17325 Pagonia Rd
Clermont, FL 34711-6008
Phone
(407) 905-6014
Fax
(407) 636-7808
NPI assigned
Jul 19, 2017
Last updated
Aug 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11005743 FL
Family Nurse Practitioner 363LF0000X SP017779 PA
Pediatric Nurse Practitioner 363LP0200X APRN11005743 FL Primary
Registered Nurse 163W00000X RN539064 PA

Addresses

Primary practice location

17325 Pagonia Rd
Clermont, FL 34711-6008

Mailing address

17325 Pagonia Rd
Clermont, FL 34711-6008
Phone (407) 905-6014

Other practice location 1

407 Wekiva Springs Rd Ste 123
Longwood, FL 32779-6157
Phone (407) 790-7998

Other identifiers 1

IdentifierTypeStateIssuer
105471000MedicaidFL

Other names 1

  • Heather Kenney Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20171031000536 PA Practitioner - Nurse Practitioner 6901172386 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN539064PAMDRegistered Nurse
11005743FLMDFamily Nurse Practitioner
SP017779PAMDFamily Nurse Practitioner
APRN11005743FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc. CurrentSince Oct 2, 2017 Accepting new patients
University of Pittsburgh Physicians CurrentSince Apr 23, 2018 Accepting new patients
University of Pittsburgh Physicians CurrentSince Apr 23, 2018 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Oct 2, 2017 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Orlando Physicians Network Inc Past Accepting new patients

Locations

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

1 Mellon Way
Latrobe, PA 15650
Phone (724) 537-1207

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

200 Lothrop St
#58
Pittsburgh, PA 15213
Phone (412) 647-6000

Organizations & group practices 7

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": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1548783756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17325 PAGONIA RD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116008",
            "telephone_number": "407-905-6014",
            "fax_number": "407-636-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17325 PAGONIA RD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116008",
            "telephone_number": "407-905-6014",
            "fax_number": "407-636-7808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "407 Wekiva Springs Rd Ste 123",
            "address_purpose": "LOCATION",
            "city": "Longwood",
            "state": "FL",
            "postal_code": "327796157",
            "country_code": "US",
            "telephone_number": "407-790-7998",
            "fax_number": "877-830-8517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEMPEST",
        "first_name": "HEATHER",
        "middle_name": "R",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11005743",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP017779",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "APRN11005743",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN539064",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105471000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "KENNEY",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.