Active NPI
Heather Marie Bertolero, APRN
- Nurse Practitioner
- Tampa, FL
National Provider Identifier
1710138268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN9432150
- Practice address
- 8745 Henderson Rd
Tampa, FL 33634-1150 - Phone
- (813) 922-2526
- Fax
- (888) 768-5029
- NPI assigned
- Oct 2, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN2359345 | MA | |
| Nurse Practitioner | 363L00000X | APRN9432150 | FL | Primary |
| Nurse Practitioner | 363L00000X | NJ001666 | NJ |
Addresses
Primary practice location
8745 Henderson Rd
Tampa, FL 33634-1150
Mailing address
4145 Bonfire Dr
Odessa, FL 33556-4598
Phone (973) 464-6033
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APRN9432150 | Other | FL | APRN |
| NJ001666 | Other | NJ | NJ LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2025 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9432150 | FL | MD | Nurse Practitioner |
| RN2359345 | MA | MD | Nurse Practitioner |
| NJ001666 | NJ | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758240000000",
"number": "1710138268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4145 BONFIRE DR",
"city": "ODESSA",
"state": "FL",
"postal_code": "335564598",
"telephone_number": "973-464-6033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8745 HENDERSON RD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336341150",
"telephone_number": "813-922-2526",
"fax_number": "888-768-5029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTOLERO",
"first_name": "HEATHER",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-02",
"last_updated": "2025-09-19",
"certification_date": "2025-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN2359345",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN9432150",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "NJ001666",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN",
"identifier": "APRN9432150",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NJ LICENSE",
"identifier": "NJ001666",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.