Heather Danielle Basagoitia, CMA, CPT

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

License

134047 Issued in FL

Practice address

1345 SW 30TH St
Fort Lauderdale, FL 33315-2842

Phone

(954) 629-4309

NPI assigned

Feb 9, 2020

Last updated

Feb 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Medical Assistant

State licenses

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

{
    "created_epoch": "1581206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581206400000",
    "number": "1710519640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9715 W BROWARD BLVD # 233",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242351",
            "telephone_number": "754-227-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 SW 30TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333152842",
            "telephone_number": "954-629-4309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASAGOITIA",
        "first_name": "HEATHER",
        "middle_name": "DANIELLE",
        "credential": "CMA, CPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-09",
        "last_updated": "2020-02-09",
        "certification_date": "2020-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "FL",
            "license": "134047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauro Barter, RN
• Justin Michael Bartl, P.A.-C
• Jeffrey C Bartlett, DDS
• Francesca Bartoccini
• Bruce L Bartos, DDS
• Liana Basceanu-Sarbu, D.D.S.
• Jasmine V Bascombe, LMFT., C.A.P.
• John Hardy Bascome V, O.D.
• Pamela Macabulos Basilio, RPT
• Biljana Baskot, MD

• Phlebology Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Phlebology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.