Active NPI
Venessa Lorraine Heath, PA-C
- Physician Assistant
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9110903
- Practice address
- 2000 W Marine View Dr BLDG 2010
Everett, WA 98207-6985 - Phone
- (425) 304-4162
- NPI assigned
- Dec 28, 2017
- 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 | PA9110903 | FL | Primary |
Addresses
Primary practice location
2000 W Marine View Dr BLDG 2010
Everett, WA 98207-6985
Mailing address
2000 W Marine View Dr BLDG 2010
Everett, WA 98207-5000
Phone (425) 304-4162
Other practice location 1
12375 S Cleveland Ave
Fort Myers, FL 33907-3803
Phone (239) 936-2013
Other practice location 2
1708 Cape Coral Pkwy W
Cape Coral, FL 33914-6985
Phone (239) 333-3333
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9110903 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Millennium Physician Group LLC | Current | Accepting new patients |
Locations
1708 Cape Coral Pkwy W
Cape Coral, FL 33914
Phone (239) 333-3333
636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344
2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700
3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
Organizations & group practices 3
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 Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
- Emergency Medicine Physician
- Cape Coral, FL
- NPI 1376611962
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734480000000",
"number": "1962918946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 W MARINE VIEW DR BLDG 2010",
"city": "EVERETT",
"state": "WA",
"postal_code": "982075000",
"telephone_number": "425-304-4162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 W MARINE VIEW DR BLDG 2010",
"city": "EVERETT",
"state": "WA",
"postal_code": "982076985",
"telephone_number": "425-304-4162"
}
],
"practiceLocations": [
{
"address_1": "12375 S Cleveland Ave",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339073803",
"country_code": "US",
"telephone_number": "239-936-2013",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1708 Cape Coral Pkwy W",
"address_purpose": "LOCATION",
"city": "Cape Coral",
"state": "FL",
"postal_code": "339146985",
"country_code": "US",
"telephone_number": "239-333-3333",
"fax_number": "239-333-3332",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEATH",
"first_name": "VENESSA",
"middle_name": "LORRAINE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-28",
"last_updated": "2024-12-18",
"certification_date": "2024-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9110903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.