Leslie Marie Heiser, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Corryton, TN
NPI 1124450648 · NPPES record last updated May 23, 2023
Key facts
- NPI
- 1124450648
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APN17718 (TN)
- Practice address
- 7331 Tazewell Pike
Corryton, TN 37721-3516 - Phone
- (865) 249-8044
- Fax
- (865) 933-4729
- NPI assigned
- Aug 7, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Champion Physical Therapy LLC Halls
Gibbs Family Practice, LLC
Practice addresses (Care Compare)
7228 Norris Fwy
Knoxville, TN 37918-5744
Phone (865) 377-3176
7331 Tazewell Pike
Corryton, TN 37721-3516
Phone (865) 249-8044
Hospital & facility affiliations
- Physicians Regional Medical Center
- University Health System, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130912000746 | TN | Practitioner - Nurse Practitioner | 3072757087 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN159964 | TN | MD | Registered Nurse |
| 159964 | TN | MD | Nurse Practitioner |
| APN17718 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gibbs Family Practice, LLC | Single Specialty | Current |
Accepting new patients |
| Cherokee Health Systems | Single Specialty | Past | Accepting new patients |
| Cherokee Health Systems | Past | Accepting new patients | |
| Family Medical Care Center, LLC | Single Specialty | Past |
Accepting new patients |
| Cherokee Health Systems | Past | Accepting new patients |
Locations
7331 Tazewell Pike
Corryton, TN 37721
Phone (865) 249-8044
Interoperability endpoints
- leslie.heiser.1@12578.direct.athenahealth.com
- https://api.platform.athenahealth.com/12578/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN159964 | TN | |
| Nurse Practitioner |
363L00000X | 159964 | TN | |
| Family Nurse Practitioner | 363LF0000X | APN17718 | TN | Yes |
Addresses
Primary practice location
7331 Tazewell Pike
Corryton, TN 37721-3516
Mailing address
7331 Tazewell Pike
Corryton, TN 37721-3516
Phone (865) 249-8044
Other names
- Leslie Marie Yarberry
Other providers in Corryton, TN
- Kendall Gigliotti
- Benjamin Craig Hamilton
- Maryjane Haney
- Amy Sexton Harrell
- Cindy Lou Harrison
- Taylor W Johnson
- Josh Lafleur
- Troy Edward Long
- Benjamin Thomas Loomis
- Tracy McNair
All providers in Corryton, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.