Home at Heart Medical Group Inc

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

HOME AT HEART MEDICAL GROUP INC

Practice address

1195 Potomac Dr
Merritt Island, FL 32952-7220

Phone

(321) 258-2426

NPI assigned

Apr 8, 2020

Last updated

Apr 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Vicki Smith, ARNP

Title

Owner

Phone

(321) 258-2426

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586822400000",
    "number": "1689203879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 POTOMAC DR",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329527220",
            "telephone_number": "321-258-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 POTOMAC DR",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329527220",
            "telephone_number": "321-258-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME AT HEART MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-258-2426",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holiday CVS LLC (CVS Pharmacy 05177)
• Holiday CVS LLC (CVS Pharmacy #16438)
• Sally Jo Holloway
• Mary Elizabeth Holtham, PA-C
• Holy Spirit Assisted Living Health Services LLC
• Kathleen P Horstmann, LPN
• House Calls of Central Florida LLC (House Calls of Central Florida)
• Lauren Howard, LPN
• Reva Carol Howard, LPN
• Tonya Howley, FNP-C

• Primary Care Nurse Practitioner in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.