Individual provider Active NPI

Kimberly Kay Vander Heuvel, ARNP-BC, MS

  • Adult Health Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1780607309
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP2069762 Issued in FL
Practice address
1839 Central Ave
St Petersburg, FL 33713-9089
Phone
(727) 322-1054
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X ARNP2069762 FL
Adult Health Nurse Practitioner 363LA2200X ARNP2069762 FL Primary

Addresses

Primary practice location

1839 Central Ave
St Petersburg, FL 33713-9089

Mailing address

13328 2ND St E
Madeira Beach, FL 33708-2410
Phone (727) 397-1544

Other practice location 1

6006 49th St N
Suite 200
St Petersburg, FL 33709-2148
Phone (727) 490-2100

Other identifiers 1

IdentifierTypeStateIssuer
CK492ZOtherFLMEDICARE #

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
I20091113000403 FL Practitioner - Nurse Practitioner 6406994318 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Florida Cardiology Network, LLCGroup PAC ID 8729260641, 83 clinicians

Practice addresses (Care Compare)

6006 49TH St N
Saint Petersburg, FL 33709-2149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP2069762FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Professional Health Care of Pinellas Inc. CurrentSince Jul 29, 2009 Accepting new patients
West Florida Cardiology Network, LLC CurrentSince Oct 6, 2014 Accepting new patients
Professional Health Care of Pinellas LLC CurrentSince Jul 29, 2009 Accepting new patients
Cardiology Consultants Past Accepting new patients

Locations

6006 49th St N
Ste 200
St Petersburg, FL 33709
Phone (727) 381-9696

1839 Central Ave
St Petersburg, FL 33713
Phone (727) 322-1054

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: kvanderheuvel189108@orlandohealth.medalliesdirect.net
  • FHIR API: https://api.platform.athenahealth.com/4692/brand/27/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/EIJHAA

Organizations & group practices 5

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1780607309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13328 2ND ST E",
            "city": "MADEIRA BEACH",
            "state": "FL",
            "postal_code": "337082410",
            "telephone_number": "727-397-1544",
            "fax_number": "727-397-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337139089",
            "telephone_number": "727-322-1054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6006 49th St N",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337092148",
            "country_code": "US",
            "telephone_number": "727-490-2100",
            "fax_number": "727-544-7389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDER HEUVEL",
        "first_name": "KIMBERLY",
        "middle_name": "KAY",
        "name_prefix": "Miss",
        "credential": "ARNP-BC, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "ARNP2069762",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP2069762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE #",
            "identifier": "CK492Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.