Kimberly Heber

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9118023 Issued in FL

Practice address

2 Suntree PL
Melbourne, FL 32940-7689

Phone

(321) 253-3944

NPI assigned

Jul 25, 2024

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Family Pratice of Suntree and Viera, P.a.

  • Family Medicine Physician
  • Melbourne, FL
  • NPI 1578751145
  Medicare reassignment

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1831927318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 TURPENTINE RD",
            "city": "MIMS",
            "state": "FL",
            "postal_code": "327545762",
            "telephone_number": "321-506-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SUNTREE PL",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407689",
            "telephone_number": "321-253-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBER",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9118023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Healy
• Hear-Mart, LLC.
• Heart of Gold Health Care, LLC
• Heart Rhythm Consultants of Melbourne PLLC
• Heartpumper Incorporated
• Gabrielle Ann Hebert, DPT
• Michelle M Hebert, O.D.
• Susan Hecht, LCSW-R
• Victoria Ana Hecht
• Lauren Heckerson, M.A. CCC-SLP

• Physician Assistant in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.