Heritage Health Northeast Inc

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

License

P0000001470 Issued in TN

Legal business name

HERITAGE HEALTH NORTHEAST INC

Practice address

735 E 10TH St
Chattanooga, TN 37403-2917

Phone

(423) 510-9504

Fax

(423) 510-9548

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Gerald T Nickell, CPA

Title

President

Phone

(423) 510-9504

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dee Langford, EDD

  • Prescribing (Medical) Psychologist
  • Chattanooga, TN
  • NPI 1346460136
  NPD (past)

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154441210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6727 HERITAGE BUSINESS CT",
            "address_2": "SUITE 712",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217015",
            "telephone_number": "423-510-9504",
            "fax_number": "423-510-9548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 E 10TH ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032917",
            "telephone_number": "423-510-9504",
            "fax_number": "423-510-9548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HEALTH NORTHEAST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NICKELL",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-510-9504",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": "TN",
            "license": "P0000001470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3733189",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Spencer Henson, MSN, APRN, FNP-C
• Lauren Elaine Henson, COTA/L
• Sarah Henson
• Michelle Amanda Herbert, PHARMD
• Kathryn Herfurth
• Heritage OB GYN Clinic of Chattanooga PLLC
• David Mark Herlevic, DDS
• Lynne D Herman, ANP
• Ronald Herman III, PMHNP
• Michael Daniel Hermann, M.D.

• Day Training/Habilitation Specialist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Day Training/Habilitation Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.