Henriette Barbara Bertheau Avila

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11029632 Issued in FL

Practice address

4729 US Highway 98 S Ste 201
Lakeland, FL 33812-4336

Phone

(863) 646-9663

Fax

(863) 646-9664

NPI assigned

Nov 15, 2023

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

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Home Alliance, LLCGroup PAC ID 6406096536, 60 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Medical Home Alliance LLC

  • Internal Medicine Physician
  • Davenport, FL
  • NPI 1740527811

  FL

  Medicare reassignment Care Compare group NPD
• Medical Home Alliance LLC

  • Internal Medicine Physician
  • Lakeland, FL
  • NPI 1134896004
  NPD

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1740055201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4729 US HIGHWAY 98 S STE 201",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338124336",
            "telephone_number": "863-646-9663",
            "fax_number": "863-646-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4729 US HIGHWAY 98 S STE 201",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338124336",
            "telephone_number": "863-646-9663",
            "fax_number": "863-646-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTHEAU AVILA",
        "first_name": "HENRIETTE",
        "middle_name": "BARBARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-15",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11029632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Denis Berry, LCSW-C
• Bersonn II LLC
• Aimee Bert-Moreno, APRN
• Nancy M Bertelmann, DC
• Barbara Gayle Bertels, ARNP
• Faentz Noemie Berthelot
• Dontae Bess
• Sabrina Bess
• Best Care Senior Living at Lakeland LLC
• Best Value Healthcare LLC

• Family Nurse Practitioner in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.

Verify at the official NPI Registry.