Individual provider Active NPI

Heather Michelle Baldriche, APRN

  • Family Nurse Practitioner
  • Lake Worth, FL
National Provider Identifier
1720646003
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11002309 Issued in FL
Practice address
5503 S Congress Ave Ste 206
Lake Worth, FL 33462-6626
Phone
(561) 964-1632
NPI assigned
Jun 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11002309 FL Primary

Addresses

Primary practice location

5503 S Congress Ave Ste 206
Lake Worth, FL 33462-6626

Mailing address

5511 S Congress Ave Ste 105
Atlantis, FL 33462-1140
Phone (561) 964-1632

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address HEATHER.BALDRICHE@hca4.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190925002033 FL Practitioner - Nurse Practitioner 1355671892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Beach General Surgery LLCGroup PAC ID 1456455021, 69 clinicians

Practice addresses (Care Compare)

5511 S Congress Ave
Suite 105
Atlantis, FL 33462-1140
Phone (561) 964-1634

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11002309FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach General Surgery LLC CurrentSince Sep 5, 2019 Accepting new patients
Palm Beach General Surgery LLC Past Accepting new patients

Locations

5511 S Congress Ave
Ste 105
Lake Worth, FL 33462
Phone (561) 964-1632

5503 S Congress Ave
Ste 206
Lake Worth, FL 33462
Phone (561) 433-0591

12989 Southern Blvd
Ste 104
Loxahatchee, FL 33470
Phone (561) 448-2080

12953 Palms West Dr
Ste 201
Loxahatchee, FL 33470
Phone (561) 790-2111

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: heather.baldriche@hca4.eclinicaldirectplus.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1720646003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 S CONGRESS AVE STE 105",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621140",
            "telephone_number": "561-964-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5503 S CONGRESS AVE STE 206",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334626626",
            "telephone_number": "561-964-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDRICHE",
        "first_name": "HEATHER",
        "middle_name": "MICHELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-03",
        "last_updated": "2022-01-26",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11002309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HEATHER.BALDRICHE@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "5503 S Congress Ave Ste 206",
            "city": "Lake Worth",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334626626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.