Kandice Monique Hearns

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

24849 Issued in FL

Practice address

175 NE Villa Nueva Ave
Palm Bay, FL 32907

Phone

(321) 952-1818

NPI assigned

Jun 9, 2017

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": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496966400000",
    "number": "1679002877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 CHURCHILL DR",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227321",
            "telephone_number": "321-684-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 NE VILLA NUEVA AVE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "32907",
            "telephone_number": "321-952-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARNS",
        "first_name": "KANDICE",
        "middle_name": "MONIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-09",
        "last_updated": "2017-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "24849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healing Hands Home Health Care LLC
• Health First Medical Group, LLC
• Health First Privia Medical Group
• Healthy Family Chiropractic Clinic L L C
• Hear Better, Inc
• Heart Care PL
• Hearts at Home, Inc
• Heka Hapi Homecare LLC
• Helix Virtual, Inc
• Lisa Lee Heller

• Physical Therapy Assistant in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2017; 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.