Individual provider Active NPI

Heather Renee Snow, NP

  • Family Nurse Practitioner
  • Alcoa, TN
National Provider Identifier
1063945558
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22526 Issued in TN
Practice address
352 Fountain View Circle
Alcoa, TN 37701-1945
Phone
(865) 982-0032
Fax
(866) 307-8963
NPI assigned
Apr 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22526 TN Primary

Addresses

Primary practice location

352 Fountain View Circle
Alcoa, TN 37701-1945

Mailing address

PO Box 15004
Knoxville, TN 37901-5004
Phone (865) 541-8895

Other practice location 1

125 Mountain View Dr Ste 200
Vonore, TN 37885-2666
Phone (423) 884-2170

Other identifiers 1

IdentifierTypeStateIssuer
Q029282MedicaidTN

Other names 1

  • Heather Renee Anderson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190418001126 TN Practitioner - Nurse Practitioner 8123369295 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
22526TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Tennessee Children'S Primary Care Center, Inc. Nurse Practitioner CurrentSince Mar 9, 2019 Accepting new patients
East Tennessee Children'S Primary Care Center, Inc. Nurse Practitioner Current Accepting new patients
East Tennessee Children'S Primary Care Center, Inc. Family Past Accepting new patients

Locations

352 Fountain View Cir
Alcoa, TN 37701
Phone (865) 982-0032

611 22nd St
Knoxville, TN 37916
Phone (865) 522-4153

414 Greenbelt Dr
Maryville, TN 37804
Phone (865) 637-8812

125 Mountain View Dr
Ste 200
Vonore, TN 37885
Phone (423) 884-2170

125 Mountain View Dr
Ste 300
Vonore, TN 37885
Phone (423) 884-2170

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1063945558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15004",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379015004",
            "telephone_number": "865-541-8895",
            "fax_number": "865-633-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 FOUNTAIN VIEW CIRCLE",
            "city": "ALCOA",
            "state": "TN",
            "postal_code": "377011945",
            "telephone_number": "865-982-0032",
            "fax_number": "866-307-8963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Mountain View Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Vonore",
            "state": "TN",
            "postal_code": "378852666",
            "country_code": "US",
            "telephone_number": "423-884-2170",
            "fax_number": "866-330-9583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNOW",
        "first_name": "HEATHER",
        "middle_name": "RENEE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q029282",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "ANDERSON",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alcoa, TN

Sources for this page

Verify at the official NPI Registry.