Keisa Maria Heard, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN5199419 Issued in FL

Practice address

10945 SW 16TH St Apt 103
Pembroke Pines, FL 33025-5535

Phone

(754) 202-6889

NPI assigned

Aug 27, 2019

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

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.

• South Florida Wellness Services, Inc

  • Substance Abuse Rehabilitation Facility
  • Miramar, FL
  • NPI 1235864372
  NPD Authorized official

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1659929396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10945 SW 16TH ST APT 103",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330255535",
            "telephone_number": "754-202-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10945 SW 16TH ST APT 103",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330255535",
            "telephone_number": "754-202-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARD",
        "first_name": "KEISA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5199419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Health Pines, LLC
• Healthexcel Medical Group at Pembroke Pines
• Healthy Eye Solutions Inc
• Healthy Living Medical Supply
• Healthy Meds LLC
• Hearing AIDS of Broward, Inc
• Heartwise Insight Therapies Inc
• Natasha Faye Heaselgrave, MSC., BCBA
• Rainya Nicole Heath, MD
• Heaven Health LLC

• All providers in Pembroke Pines, FL
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.