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AMANDA HEESACKER
NPI 1225973134
Licensed Practical Nurse in St Petersburg, FL

Active since April 20, 2026
6350 22ND AVE N, ST PETERSBURG, FL 33710(407) 347-4331 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Heesacker NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA HEESACKER (NPI 1225973134) is an individual licensed practical nurse in St Petersburg, Florida, licensed in Florida (5264241) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1225973134
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameAMANDA HEESACKER
Location Address6350 22ND AVE NSt Petersburg, FL 33710-4106
Mailing Address6350 22nd Ave NSt Petersburg, FL 33710-4106 · (407) 347-4331
Phone(407) 347-4331
Sole ProprietorYes
Enumeration DateApril 20, 2026
NPPES CertifiedApril 20, 2026
✔ NPI 1225973134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in FL · 5264241
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
6350 22ND AVE N, St Petersburg, FL 33710
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Heesacker's NPI number?

The NPI number for Amanda Heesacker is 1225973134. It was assigned to this individual provider in the NPPES registry on April 20, 2026.

Where is Amanda Heesacker located?

Amanda Heesacker practices at 6350 22nd Ave N, St Petersburg, FL 33710. The listed phone number is (407) 347-4331.

What is Amanda Heesacker's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Amanda Heesacker was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.