Individual provider Active NPI

Heather Marie Bertolero, APRN

  • Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1710138268
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9432150 Issued in FL
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

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
APRN9432150OtherFLAPRN
NJ001666OtherNJNJ 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

LicenseStateTypeSpecialty
APRN9432150FLMDNurse Practitioner
RN2359345MAMDNurse Practitioner
NJ001666NJMDNurse 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

Verify at the official NPI Registry.