Individual provider Active NPI

Heather Contreras

  • Surgical Physician Assistant
  • Davie, FL
National Provider Identifier
1821541541
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
11352 W State Road 84 Unit 1
Davie, FL 33325
Phone
(954) 822-5706
NPI assigned
Jul 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X Primary

Addresses

Primary practice location

11352 W State Road 84 Unit 1
Davie, FL 33325

Mailing address

11352 W State Road 84 Unit 1
Davie, FL 33325-4007
Phone (954) 822-5706

Other practice location 1

2410 SW 44th Ter
Ft Lauderdale, FL 33317-6512
Phone (954) 822-5706 ext. 25706

Other practice location 2

2410 SW 44th Ter
Ft Lauderdale, FL 33317-6512
Phone (954) 822-5706 ext. 25706

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

Practice roles

OrganizationSpecialtyStatusNew patients
HC Surgical LLC Surgical Current Accepting new patients

Locations

11352 W State Road 84
Davie, FL 33325
Phone (754) 208-8730

Organizations & group practices 1

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": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1821541541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11352 W STATE ROAD 84 UNIT 1",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333254007",
            "telephone_number": "954-822-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11352 W STATE ROAD 84 UNIT 1",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "33325",
            "telephone_number": "954-822-5706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2410 SW 44th Ter",
            "address_purpose": "LOCATION",
            "city": "Ft Lauderdale",
            "state": "FL",
            "postal_code": "333176512",
            "country_code": "US",
            "telephone_number": "954-822-5706 x25706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2410 SW 44th Ter",
            "address_purpose": "LOCATION",
            "city": "Ft Lauderdale",
            "state": "FL",
            "postal_code": "333176512",
            "country_code": "US",
            "telephone_number": "954-822-5706 x25706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONTRERAS",
        "first_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-28",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.