Individual provider Active NPI

Heather Lynn Leto, ARNP-C

  • Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1972865533
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9205170 Issued in FL
Practice address
12500 N Dale Mabry Hwy Ste B
Tampa, FL 33618-2809
Phone
(813) 712-5702
Fax
(813) 377-1005
NPI assigned
Jun 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9205170 FL
Nurse Practitioner 363L00000X APRN9205170 FL Primary

Addresses

Primary practice location

12500 N Dale Mabry Hwy Ste B
Tampa, FL 33618-2809

Mailing address

13801 Bruce B Downs Blvd Ste 101
Tampa, FL 33613-3911
Phone (813) 978-1500

Other practice location 1

2 Tampa General Cir
Tampa, FL 33606-3603
Phone (813) 259-0619

Other practice location 2

4915 Ehrlich Rd
Tampa, FL 33624
Phone (813) 960-2400

Other practice location 3

4915 Ehrlich Rd
Tampa, FL 33624
Phone (813) 960-2400

Other identifiers 2

IdentifierTypeStateIssuer
Y0C2JOtherFLBLUE CROSS BLUE SHIELD
008654200MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120719000252 FL Practitioner - Nurse Practitioner 0244496263 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohi West Medical Group II LLCGroup PAC ID 0648631192, 407 clinicians

Practice addresses (Care Compare)

38101 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 715-0195

38103 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 778-0414

38105 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 815-5380

38107 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 979-0440

38135 Market Square Dr
Zephyrhills, FL 33542-7505

3820 Northdale Blvd
Suite 200
Tampa, FL 33624-1897
Phone (813) 712-5702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Medical Clinic, LLC CurrentSince Mar 11, 2019 Accepting new patients
Ohi West Medical Group II LLC CurrentSince Apr 1, 2024 Accepting new patients
Ohi West Medical Group II LLC CurrentSince Apr 1, 2024 Accepting new patients
Florida Medical Clinic LLC CurrentSince Mar 11, 2019 Accepting new patients
Dwic of Tampa Bay, Inc Past Accepting new patients
Brandon-Riverview Medical Associates PA Past Accepting new patients
Robert a. Norman, D.O., P.a. Past Accepting new patients
Christopher G. Nelson, M.D., P.a. Past Accepting new patients
Ohi West Medical Group II LLC Past Accepting new patients

Locations

12500 N Dale Mabry Hwy
Ste B
Tampa, FL 33618
Phone (813) 712-5702

3820 Northdale Blvd
Ste 200
Tampa, FL 33624
Phone (813) 712-5702

12500 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 968-1727

38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188

38135 Market Square Dr
Ste 101
Zephyrhills, FL 33542
Phone (813) 788-7651

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1972865533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13801 BRUCE B DOWNS BLVD STE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133911",
            "telephone_number": "813-978-1500",
            "fax_number": "813-978-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 N DALE MABRY HWY STE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182809",
            "telephone_number": "813-712-5702",
            "fax_number": "813-377-1005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Tampa General Cir",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336063603",
            "country_code": "US",
            "telephone_number": "813-259-0619",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4915 Ehrlich Rd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "33624",
            "country_code": "US",
            "telephone_number": "813-960-2400",
            "fax_number": "813-960-2410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4915 Ehrlich Rd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "33624",
            "country_code": "US",
            "telephone_number": "813-960-2400",
            "fax_number": "813-960-2410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LETO",
        "first_name": "HEATHER",
        "middle_name": "LYNN",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9205170",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9205170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y0C2J",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008654200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.