Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Henriette Barbara Bertheau Avila

Individual provider Family Nurse Practitioner · NPI 1740055201

Henriette Barbara Bertheau Avila is a Nurse Practitioner in Lakeland, Florida. Qualified in 2023, 3 years ago. Practices with Medical Home Alliance, LLC, a 63-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2023
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Practice location Address checks out

4729 US Highway 98 S Ste 201
Lakeland, FL 33812-4336
Phone: (863) 646-9663
Fax: (863) 646-9664
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11029632 (FL)

Record details

NPI number1740055201
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 15, 2023
Last updated in NPPESJanuary 8, 2026
Certification dateJanuary 8, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Medical Home Alliance, Llc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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