Heather Ann Heinrich, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3481 Issued in TN

Practice address

1365 Flowering Dogwood LN Ste Eandf
Dyersburg, TN 38024-2884

Phone

(731) 439-4301

Fax

(731) 345-4333

NPI assigned

Jul 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Geriatric Essentials, PC

  • Gerontology Clinical Nurse Specialist
  • Dyersburg, TN
  • NPI 1003086307
  NPD

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1316145386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 US HIGHWAY 51 BYP W",
            "address_2": "PMB 599",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380241950",
            "telephone_number": "731-439-4301",
            "fax_number": "731-439-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 FLOWERING DOGWOOD LN STE EANDF",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242884",
            "telephone_number": "731-439-4301",
            "fax_number": "731-345-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINRICH",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008012",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "3481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Heart to Heart Non-Medical Senior Care LLC
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• Kimberly McEntire Hendrix, LMHC
• Amber Henry
• Cherie Hickman, SLP
• Highlands of Dyersburg LLC
• Highlands of Dyersburg, LLC

• Psychologist in Dyersburg, TN
• Providers in Dyersburg, TN by specialty
• Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.