Individual provider Active NPI

Heather Harmon Rouse, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1205601499
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
34605 Issued in TN
Practice address
5344 Edenshire CV
Memphis, TN 38119-4905
Phone
(901) 585-4854
NPI assigned
Nov 17, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 34605 TN Primary

Addresses

Primary practice location

5344 Edenshire CV
Memphis, TN 38119-4905

Mailing address

5344 Edenshire CV
Memphis, TN 38119-4905
Phone (901) 585-4854

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240618003462 TN Practitioner - Nurse Practitioner 0143763110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memphis Psychiatric and Addiction Clinic, PCGroup PAC ID 2365499688, 2 clinicians

Practice addresses (Care Compare)

2911 Brunswick Rd
Bartlett, TN 38133-4105
Phone (901) 480-8225

Hospital & facility affiliations

  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
  • Saint Francis Bartlett Medical Center Hospital, Bartlett, TN, CCN 440228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Memphis Psychiatric and Addiction Clinic, PC CurrentSince Apr 12, 2024 Accepting new patients
Psycare LLC PastSince Dec 1, 2018 Accepting new patients

Locations

2911 Brunswick Rd
Bartlett, TN 38133
Phone (901) 373-0905

Organizations & group practices 2

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.

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": "1700179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1205601499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5344 EDENSHIRE CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194905",
            "telephone_number": "901-585-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5344 EDENSHIRE CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194905",
            "telephone_number": "901-585-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSE",
        "first_name": "HEATHER",
        "middle_name": "HARMON",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "34605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.