Active NPI
Heather C Edwards, L.AC, MAOM
- Acupuncturist
- Goodlettsville, TN
National Provider Identifier
1043518392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 179
- Practice address
- 110 Glancy St
Suite 102
Goodlettsville, TN 37072-2326 - Phone
- (818) 625-7096
- NPI assigned
- Mar 10, 2011
- Last updated
- Mar 10, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 179 | TN | Primary |
Addresses
Primary practice location
110 Glancy St
Suite 102
Goodlettsville, TN 37072-2326
Mailing address
4104 Preston Run
Goodlettsville, TN 37072-1954
Phone (818) 625-7096
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 179 | TN | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299715200000",
"number": "1043518392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4104 PRESTON RUN",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370721954",
"telephone_number": "818-625-7096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 GLANCY ST",
"address_2": "SUITE 102",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370722326",
"telephone_number": "818-625-7096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "HEATHER",
"middle_name": "C",
"credential": "L.AC, MAOM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-10",
"last_updated": "2011-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "TN",
"license": "179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goodlettsville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.