KELLY HEIBLUM APRN – NPI #1427908920
Nurse Practitioner

KELLY HEIBLUM is a nurse practitioner located in WESTON, FL. NPPES has assigned the NPI number 1427908920 to KELLY HEIBLUM on February 02, 2026. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 363LF0000X from the Health Care Provider Taxonomy code set, which is classified as Nurse Practitioner, specializing in Family

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KELLY HEIBLUM below.

NPI Profile for
KELLY HEIBLUM

NPI Number
1427908920
Enumeration Date

(about 4 months ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KELLY HEIBLUM
Credentials
APRN
Primary location
636 NANDINA DR
WESTON, FL 33327-2401
Phone: (954) 249-5342 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Feb 02, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
363LF0000X
- Nurse Practitioner / Family (Primary)
FL 11045211

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.