Active NPI
Heather June Cini, PMNHP
- Psychiatric/Mental Health Nurse Practitioner
- Conway, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 27571
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HJC Psychiatric Services LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| HHC South Carolina Inc | Current | 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.
-
dba Lighthouse Behavioral Health Hospital
- Psychiatric Hospital
- Conway, SC
- NPI 1194826081
-
- Psychiatric/Mental Health Nurse Practitioner
- Myrtle Beach, SC
- NPI 1861363285
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.