Kathryn Wayne O'Heron, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

30328 Issued in TN

Practice address

3300 Williams Enterprise Drive
Suite 1
Cookeville, TN 38506

Phone

(931) 528-9222

Fax

(931) 854-0907

NPI assigned

Jan 26, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Katie O'Heron Other name

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innovative Family Care, PLLCGroup PAC ID 0042474942, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• NHC Homecare Murfreesboro Home health agency, Murfreesboro, TN, CCN 447114
• Cookeville Regional Medical Center Hospital, Cookeville, TN, CCN 440059

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kwayne@innovativefamilycare.ssdirect.aprima.com

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.

• Innovative Family Care, PLLC

  • Family Medicine Physician
  • Cookeville, TN
  • NPI 1720345408
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cookeville Regional Medical Center

  • General Acute Care Hospital
  • Cookeville, TN
  • NPI 1275531956
  Care Compare affiliation
• NHC-Op LP

  • Home Health Agency
  • MC Minnville, TN
  • NPI 1124044284
  Care Compare affiliation
• NHC-Op LP

  • Home Health Agency
  • Cookeville, TN
  • NPI 1295751360
  Care Compare affiliation
• NHC-Op LP

  • Home Health Agency
  • Sparta, TN
  • NPI 1619993789
  Care Compare affiliation
• NHC-Op LP

  • Home Health Agency
  • Franklin, TN
  • NPI 1750582391
  Care Compare affiliation
• NHC-Op LP

  • Home Health Agency
  • Lebanon, TN
  • NPI 1912923061
  Care Compare affiliation
• NHC-Op LP

  • Home Health Agency
  • Murfreesboro, TN
  • NPI 1972529006
  Care Compare affiliation

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1154911857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 WILLIAMS ENTERPRISE DR STE 1",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385064224",
            "telephone_number": "931-528-9222",
            "fax_number": "931-854-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 WILLIAMS ENTERPRISE DRIVE",
            "address_2": "SUITE 1",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "38506",
            "telephone_number": "931-528-9222",
            "fax_number": "931-854-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HERON",
        "first_name": "KATHRYN",
        "middle_name": "WAYNE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "248372",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "30328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "O'HERON",
            "credential": "FNP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Notlob Enterprises
• Cindy Novetri, LPN
• Shauna Darlene Nunes, CRNP
• Stuart Aaron Nunley
• Chike Magnus Nzerue, M.D.
• Kassandra Leanne O'Sullivan, MSSW
• Oakhaven Anesthesia Services, PLLC
• Troy Benjamin Oakley, D.D.S.
• Occupational Health Center, LLC
• Eseoghene Oderhohwo

• Family Nurse Practitioner in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.