Sydney Joline Heacock

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

255369 Issued in TN

Practice address

135 W Arrowwood Rd
Oak Ridge, TN 37830-5724

Phone

(865) 310-1779

NPI assigned

Apr 5, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Personalized Caregiving of Tennessee, LLC

  • Home Health Agency
  • Knoxville, TN
  • NPI 1164135349
  NPD Authorized official

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1033850086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 W ARROWWOOD RD",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378305724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W ARROWWOOD RD",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378305724",
            "telephone_number": "865-310-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEACOCK",
        "first_name": "SYDNEY",
        "middle_name": "JOLINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "255369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Hayes, PA-C
• Kathryn J Hayes, MD
• Wesley L Hayes, M.D.
• Ashley Lorraine Haynes
• Haley Renae Hazel
• David Grant Heald, M.D.
• Amie Nicole Healy
• Raven Michelle Heatherly, NP-C
• Gabrielle Heatwole, LPN
• Keith Heifner, LPC

• Registered Nurse in Oak Ridge, TN
• Providers in Oak Ridge, TN by specialty
• Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.