Individual provider Active NPI

Heather S Desserich, FNP-BC

  • Family Nurse Practitioner
  • Crossville, TN
National Provider Identifier
1225790645
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
129374 Issued in TN
Practice address
229 Interstate Dr Ste 103
Crossville, TN 38555-2704
Phone
(931) 250-5577
Fax
(931) 250-5575
NPI assigned
Oct 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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 129374 TN Primary

Addresses

Primary practice location

229 Interstate Dr Ste 103
Crossville, TN 38555-2704

Mailing address

229 Interstate Dr Ste 103
Crossville, TN 38555-2704
Phone (931) 250-5577

Other names 1

  • Heather Sheree' Dixon Former name

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
I20211201001218 TN Practitioner - Nurse Practitioner 7214327568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exac Care PLLCGroup PAC ID 7315100039, 8 clinicians

Practice addresses (Care Compare)

229 Interstate Dr
Suite 103
Crossville, TN 38555-2704
Phone (931) 210-5577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
129374TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Exac Care, PLLC CurrentSince Nov 1, 2021 Accepting new patients

Locations

229 Interstate Dr
Ste 103
Crossville, TN 38555
Phone (931) 210-5577

930 W Race St
Kingston, TN 37763
Phone (865) 221-8020

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1225790645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 INTERSTATE DR STE 103",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385552704",
            "telephone_number": "931-250-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 INTERSTATE DR STE 103",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385552704",
            "telephone_number": "931-250-5577",
            "fax_number": "931-250-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESSERICH",
        "first_name": "HEATHER",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "129374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "DIXON",
            "middle_name": "SHEREE'",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Crossville, TN

Sources for this page

Verify at the official NPI Registry.