Heartland Infusion

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

HEARTLAND INFUSION

Practice address

9943 Kingston Pike
Knoxville, TN 37922-6923

Phone

(865) 862-4557

Fax

(865) 862-4556

NPI assigned

Sep 21, 2018

Organization subpart

No

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

Authorized official

Name

Charles Ray WallNPI 1770792871

Title

Owner

Phone

(865) 689-9778

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Ray Wall, RPH

  • Pharmacist
  • Bessemer, AL
  • NPI 1770792871
  NPD Authorized official

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1174007538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9943 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379226923",
            "telephone_number": "865-862-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9943 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379226923",
            "telephone_number": "865-862-4557",
            "fax_number": "865-862-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND INFUSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-21",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-689-9778"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOCAL PART B",
            "identifier": "0575",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1534157",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Healthy Mind Counseling Services, Inc
• Hearing Conservation Associates Inc
• Linsey Nicole Hearn, CTRS
• Bethany Hearon
• Hearten Studio LLC (Hearten Studio)
• Heartland Infusion
• Heartland Medical Staffing LLC
• Bry Heath
• Donna Heath, FNP-BC
• Lindsay Jean Heath, FNP

• Infusion Therapy Clinic/Center in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Infusion Therapy Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.