Heidi Merissa Poore, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

17149 Issued in TN

Practice address

301 Clark St
Knoxville, TN 37921-6328

Phone

(865) 588-1718

Fax

(865) 338-5897

NPI assigned

Nov 2, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Vanderbilt University School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Power of Three PsychiatryGroup PAC ID 5890129464, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: havenfamilypsychiatry.heidipoore@134921.advancedmd-direct.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.

• Power of Three Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Knoxville, TN
  • NPI 1184107773
  Medicare reassignment Care Compare group NPD
• Sleep Associates of East Tennessee PLLC

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Powell, TN
  • NPI 1144401753
  NPD (past)
• Wayne E. Tasker and Associates, Inc.

  • Clinical Social Worker
  • Morristown, TN
  • NPI 1295974319
  NPD (past)

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1215281969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 CLARK ST",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379216328",
            "telephone_number": "865-588-1718",
            "fax_number": "865-338-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CLARK ST",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379216328",
            "telephone_number": "865-588-1718",
            "fax_number": "865-338-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POORE",
        "first_name": "HEIDI",
        "middle_name": "MERISSA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-02",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "17149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Stephen Poole, MD
• Matt Poole
• Melissa Poole
• Robin O'Kain Poole, PHARMD
• Sara Pooler, DPT, PT
• Alyssa Jordan Pope
• Rebecca Suzanne Pope, PHARMD
• Jessica Lynne Popp
• Joy Popp, CRNA
• Olivia Rae Poremba

• Psychiatric/Mental Health Nurse Practitioner in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.