Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225973134 Individual Practitioner Female Practitioner

Amanda Heesacker

Licensed Practical Nurse • St Petersburg, FL

Professional Overview & Biography Verified Profile Summary

Amanda Heesacker is a registered healthcare professional specializing in Licensed Practical Nurse in St Petersburg, FL. Practice services are available at 6350 22ND AVE N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6350 22nd Ave N

St Petersburg, FL 337104106

Telephone 4073474331

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in St Petersburg, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
29 Specialists

Practicing in St Petersburg, FL (1995 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-04-20
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License FL 5264241

An individual 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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Kristina Blaske

Licensed Practical Nurse

NPI 1073394383
Nicole York , LPN

Clinical Nurse Specialist - Psychiatric/Mental Health, Geropsychiatric

NPI 1285584615

Licensed Practical Nurse

Serey Merchant , PHMNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1396613303
Heidi Troche , LPN

Licensed Practical Nurse

NPI 1518804988

Licensed Practical Nurse

Sharleene Herbert

Licensed Practical Nurse

NPI 1659224517
Mirian Perez

Social Worker - Clinical

NPI 1912827445

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 20, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location April 20, 2026

Registered at 6350 22ND AVE N, ST PETERSBURG, FL 337104106 (Tel: 4073474331)

📍
Updated Business Mailing Address April 20, 2026

Registered at 6350 22ND AVE N, ST PETERSBURG, FL 337104106 (Tel: 4073474331)

👤
Provider Name / Credentials Updated April 20, 2026

Recorded as AMANDA HEESACKER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2026

Licensed Practical Nurse (License #5264241 in FL)

🟢
Initial NPI Registration & Enumeration April 20, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225973134
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 20, 2026
Last Update: April 20, 2026
Sole Proprietor: Yes

Mailing Address

6350 22nd Ave N

St Petersburg, FL 337104106

Phone: 4073474331

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.