Active NPI
Jennifer Lorene Heath, P.A.-C
- Physician Assistant
- Pensacola, FL
National Provider Identifier
1942374301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9103433
- Practice address
- 915 E Fairfield Dr
Pensacola, FL 32503-2816 - Phone
- (850) 444-3400
- Fax
- (850) 595-0096
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9103433 | FL | Primary |
Addresses
Primary practice location
915 E Fairfield Dr
Pensacola, FL 32503-2816
Mailing address
915 E Fairfield Dr
Pensacola, FL 32503-2816
Phone (850) 444-3400
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9103433 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Coast Physician Partners | Past | Accepting new patients |
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.
-
- Family Nurse Practitioner
- Milton, FL
- NPI 1568908242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490832000000",
"number": "1942374301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 E FAIRFIELD DR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032816",
"telephone_number": "850-444-3400",
"fax_number": "850-595-0096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 E FAIRFIELD DR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032816",
"telephone_number": "850-444-3400",
"fax_number": "850-595-0096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEATH",
"first_name": "JENNIFER",
"middle_name": "LORENE",
"name_prefix": "Mrs.",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2017-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "9103433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.