Individual provider Active NPI

Heather Brown

  • Family Nurse Practitioner
  • Johnson City, TN
National Provider Identifier
1174029524
Registry record updated Jan 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
41265.1735 Issued in WY
Practice address
1 Professional Park Dr Ste 21
Johnson City, TN 37604-6909
Phone
(423) 232-6900
NPI assigned
Apr 4, 2018
Last updated
Jan 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2024

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 41265.1735 WY Primary

Addresses

Primary practice location

1 Professional Park Dr Ste 21
Johnson City, TN 37604-6909

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565

Other practice location 1

14 Great Plains Rd
Arapahoe, WY 82510
Phone (307) 856-9281

Other practice location 2

14 Great Plains Rd
Arapahoe, WY 82510
Phone (307) 856-9281

Other practice location 3

98 15th St NW Ste 207
Norton, VA 24273-1600
Phone (276) 439-1295

Other practice location 4

2202 N John B Dennis Hwy Ste 110
Kingsport, TN 37660-5904
Phone (423) 578-8400

Other practice location 5

16000 Johnston Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-1100

Other practice location 6

247 Silver Lake Rd
Church Hill, TN 37642-3516
Phone (423) 357-5341

Other practice location 7

2000 Brookside Dr
Kingsport, TN 37660-4627
Phone (423) 857-7000

Other practice location 8

400 N State Of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-6111

Other practice location 9

3 Professional Park Dr Ste 31
Johnson City, TN 37604-6529
Phone (423) 232-6900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hbrown176926@balladhealth.medalliesdirect.net Direct Wellmont Medical Associates Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220309002725 VA Practitioner - Nurse Practitioner 0345635371 Reassigns benefits to 2 organizations
I20220526001659 TN Practitioner - Nurse Practitioner 0345635371 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
WPS Providers IncGroup PAC ID 7719079532, 83 clinicians

Practice addresses (Care Compare)

24530 Falcon Place Blvd
Suite 100
Abingdon, VA 24211-7665
Phone (276) 619-0075

3 Professional Park Dr
Suite 31
Johnson City, TN 37604-6529
Phone (423) 434-3570

98 15TH St NW
Suite 202
Norton, VA 24273-1600
Phone (276) 439-1295

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41265.1735WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Mar 2, 2022 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Feb 13, 2022 Accepting new patients
Wellmont Medical Associates Inc CurrentSince Feb 18, 2022 Accepting new patients
Caris Palliative Care LLC CurrentSince Sep 30, 2025 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Feb 13, 2022 Accepting new patients

Locations

1 Medical Park Blvd
Ste 210E
Bristol, TN 37620
Phone (423) 224-4000

5959 Shallowford Rd
Ste 551
Chattanooga, TN 37421
Phone (423) 899-4044

1412 Trotwood Ave
Ste 11
Columbia, TN 38401
Phone (931) 279-0041

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

1 Professional Park Dr
Ste 21
Johnson City, TN 37604
Phone (423) 232-6900

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

3 Professional Park Dr
Ste 31
Johnson City, TN 37604
Phone (423) 232-6900

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

2000 Brookside Dr
Kingsport, TN 37660
Phone (423) 857-7144

10651 Coward Mill Rd
Knoxville, TN 37931
Phone (865) 694-4988

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

98 15th St NW
Ste 207
Norton, VA 24273
Phone (276) 439-1295

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704067200000",
    "number": "1174029524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-302-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PROFESSIONAL PARK DR STE 21",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046909",
            "telephone_number": "423-232-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Great Plains Rd",
            "address_purpose": "LOCATION",
            "city": "Arapahoe",
            "state": "WY",
            "postal_code": "82510",
            "country_code": "US",
            "telephone_number": "307-856-9281",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 Great Plains Rd",
            "address_purpose": "LOCATION",
            "city": "Arapahoe",
            "state": "WY",
            "postal_code": "82510",
            "country_code": "US",
            "telephone_number": "307-856-9281",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "98 15th St NW Ste 207",
            "address_purpose": "LOCATION",
            "city": "Norton",
            "state": "VA",
            "postal_code": "242731600",
            "country_code": "US",
            "telephone_number": "276-439-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2202 N John B Dennis Hwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376605904",
            "country_code": "US",
            "telephone_number": "423-578-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16000 Johnston Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242117664",
            "country_code": "US",
            "telephone_number": "276-258-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "247 Silver Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Church Hill",
            "state": "TN",
            "postal_code": "376423516",
            "country_code": "US",
            "telephone_number": "423-357-5341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Brookside Dr",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376604627",
            "country_code": "US",
            "telephone_number": "423-857-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 N State Of Franklin Rd",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376046035",
            "country_code": "US",
            "telephone_number": "423-431-6111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Professional Park Dr Ste 31",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376046529",
            "country_code": "US",
            "telephone_number": "423-232-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-04",
        "last_updated": "2024-01-01",
        "certification_date": "2024-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "41265.1735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hbrown176926@balladhealth.medalliesdirect.net",
            "affiliation": "Y",
            "endpointDescription": "Ballad Health Care Everywhere",
            "affiliationName": "Wellmont Medical Associates Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2202 N John B Dennis Hwy",
            "address_2": "Suite 110",
            "city": "Kingsport",
            "state": "TN",
            "country_code": "US",
            "postal_code": "376603831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.