Active NPI
Heidi Myers
- Behavior Technician
- Mary Esther, FL
National Provider Identifier
1750195400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT1229827
- Practice address
- 124 Cristobol Ave
#503
Mary Esther, FL 32569 - Phone
- (225) 287-2398
- NPI assigned
- Feb 4, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN9480322 | FL | |
| Behavior Technician | 106S00000X | RBT1229827 | FL | Primary |
Addresses
Primary practice location
124 Cristobol Ave
#503
Mary Esther, FL 32569
Mailing address
404 Marshall CT NW Unit 7
Fort Walton Beach, FL 32548-4142
Phone (225) 287-2398
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT1229827 | FL | MD | Behavior Technician |
| RN9480322 | FL | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745366400000",
"number": "1750195400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 MARSHALL CT NW UNIT 7",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325484142",
"telephone_number": "225-287-2398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 CRISTOBOL AVE",
"address_2": "#503",
"city": "MARY ESTHER",
"state": "FL",
"postal_code": "32569",
"telephone_number": "225-287-2398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "HEIDI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-04",
"last_updated": "2025-04-23",
"certification_date": "2025-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "FL",
"license": "RN9480322",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT1229827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mary Esther, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.