Individual provider Active NPI

Heather June Cini, PMNHP

  • Psychiatric/Mental Health Nurse Practitioner
  • Conway, SC
National Provider Identifier
1689349557
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
27571 Issued in SC
Practice address
911 3Rd Ave
Conway, SC 29526-5144
Phone
(843) 653-1502
Fax
(843) 438-8064
NPI assigned
Aug 12, 2021
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 27571 SC Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X L8-0010262 DE

Addresses

Primary practice location

911 3Rd Ave
Conway, SC 29526-5144

Mailing address

911 3Rd Ave
Conway, SC 29526-5144
Phone (843) 653-1502

Other practice location 1

314 E Main St Ste 403
Newark, DE 19711-7182
Phone (302) 369-3533

Other practice location 2

5201 W Woodmill Dr Ste 31
Wilmington, DE 19808-4068
Phone (302) 540-1808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20241210000135 SC Practitioner - Nurse Practitioner 6002281623 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HHC South Carolina IncGroup PAC ID 4688698087, 2 clinicians

Practice addresses (Care Compare)

152 Waccamaw Medical Park Dr
Conway, SC 29526-8901
Phone (843) 347-8871

618 Chestnut Rd
Suite 103
Myrtle Beach, SC 29572-5504
Phone (846) 653-1502

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
HJC Psychiatric Services LLC Psychiatric/Mental Health CurrentSince Nov 1, 2025 Accepting new patients
HHC South Carolina Inc CurrentSince Sep 23, 2024 Accepting new patients

Locations

152 Waccamaw Medical Park Dr
Conway, SC 29526
Phone (843) 347-8871

911 3rd Ave
Conway, SC 29526
Phone (843) 653-1502

618 Chestnut Rd
Ste 103
Myrtle Beach, SC 29572
Phone (843) 742-1264

Organizations & group practices 2

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": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1689349557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 3RD AVE",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295265144",
            "telephone_number": "843-653-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 3RD AVE",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295265144",
            "telephone_number": "843-653-1502",
            "fax_number": "843-438-8064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "314 E Main St Ste 403",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197117182",
            "country_code": "US",
            "telephone_number": "302-369-3533",
            "fax_number": "302-369-3093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5201 W Woodmill Dr Ste 31",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198084068",
            "country_code": "US",
            "telephone_number": "302-540-1808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CINI",
        "first_name": "HEATHER",
        "middle_name": "JUNE",
        "name_prefix": "Mrs.",
        "credential": "PMNHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-12",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "27571",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0010262",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.