Shante Heatly, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11026421 Issued in FL

Practice address

1200 7TH Ave N
Saint Petersburg, FL 33705-1300

Phone

(727) 825-1065

NPI assigned

May 23, 2023

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

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Unique Healthcare Systems, LLCGroup PAC ID 5496058422, 39 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Unique Healthcare Systems LLC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Pinellas Park, FL
  • NPI 1831567627
  Medicare reassignment Care Compare group NPD
• Unique Management Group

  dba AFC Primary Care

  • Primary Care Clinic/Center
  • Pinellas Park, FL
  • NPI 1528622586
  NPD (past)

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1598457103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 28TH ST S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337121526",
            "telephone_number": "727-687-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 7TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337051300",
            "telephone_number": "727-825-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATLY",
        "first_name": "SHANTE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11026421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heart and Mind Wellness LLC
• Heart's Desire Homemaker & Companion Services (Heart's Desire Transportation Services)
• Heart's Desire Homemaker & Companion Services, LLC (Heart's Desire Nurse Registry)
• Heart's Desire Homemaker & Companion Services, LLC (Heart's Desire Nurse Registry)
• Heather Maturo Counseling
• Sharon Lois Heaven
• Heavenly Tresses LLC
• Sol Gacilago Hechanova, PHYSICAL THERAPIST
• Soley Hechavarria
• Casey Hedemann

• Family Nurse Practitioner in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.