Individual provider Active NPI

Winifred Heflin, RN

  • Registered Nurse
  • Summerfield, FL
National Provider Identifier
1861823965
Registry record updated Nov 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1431942 Issued in FL
Practice address
14660 SE 77TH CT
Summerfield, FL 34491-4206
Phone
(352) 245-5932
Fax
(352) 245-6275
NPI assigned
Nov 29, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1431942 FL Primary
Case Management Registered Nurse 163WC0400X 00042314 FL

Addresses

Primary practice location

14660 SE 77TH CT
Summerfield, FL 34491-4206

Mailing address

7725 SE 147TH PL
Summerfield, FL 34491-4237
Phone (352) 245-5932

Other identifiers 1

IdentifierTypeStateIssuer
1431942OtherFLFLORIDA DEPARTMENT OF HEALTH - REGISTERED NURSING LICENSE

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1431942FLMDRegistered Nurse
00042314FLMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1385683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385683200000",
    "number": "1861823965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7725 SE 147TH PL",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344914237",
            "telephone_number": "352-245-5932",
            "fax_number": "352-245-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14660 SE 77TH CT",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344914206",
            "telephone_number": "352-245-5932",
            "fax_number": "352-245-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFLIN",
        "first_name": "WINIFRED",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-29",
        "last_updated": "2013-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "1431942",
            "primary": true
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "FL",
            "license": "00042314",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF HEALTH - REGISTERED NURSING LICENSE",
            "identifier": "1431942",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerfield, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2013; 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.