Paulette Vital-Herne

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

11009426 Issued in FL

Practice address

8427 Hunters Fork Loop
Ruskin, FL 33573-0159

Phone

(813) 679-5413

NPI assigned

Oct 26, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Nurse Practitioner

State licenses

Practice roles

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.

• Olive Branch Health and Wellness LLC

  • Gastroenterology Registered Nurse
  • Tampa, FL
  • NPI 1316895865
  NPD Authorized official

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1871193292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8427 HUNTERS FORK LOOP",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335730159",
            "telephone_number": "813-679-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8427 HUNTERS FORK LOOP",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335730159",
            "telephone_number": "813-679-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITAL-HERNE",
        "first_name": "PAULETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11009426",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "11009426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James H Vann
• Cecilia Velasco
• Domonique Vickers
• Vision Specialty Associates, P.a.
• Vital Ride Services LLC
• Maria Von Ellm-McKenna, PA-S
• Linda Vu, PA-C
• Wal-Mart Stores East, L.P.
• Henry Walker Jr., HOME MAKER COMPANION
• Janeicka Walker

• Gerontology Nurse Practitioner in Ruskin, FL
• Providers in Ruskin, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.