Heidi M Marlow, AGNP-CB

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

36298 Issued in TN

Practice address

2221 Jacksboro Pike Ste A18
La Follette, TN 37766-3035

Phone

(865) 333-4770

Fax

(865) 332-1923

NPI assigned

May 13, 2024

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  Nurse Practitioner, TN

  Medicare reassignment NPD
• Revive Primary Care and Medspa PLLC

  • Gerontology Nurse Practitioner
  • La Follette, TN
  • NPI 1457203879
  NPD Authorized official

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1316796337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 JACKSBORO PIKE STE A18",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377663035",
            "telephone_number": "937-408-7606",
            "fax_number": "865-332-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 JACKSBORO PIKE STE A18",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377663035",
            "telephone_number": "865-333-4770",
            "fax_number": "865-332-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLOW",
        "first_name": "HEIDI",
        "middle_name": "M",
        "credential": "AGNP-CB",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TN",
            "license": "36298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Douglas Lopez Jr., D.D.S.
• LWC Sevice Providers LLP
• Joseph Madron
• Elie Mansour, M.D.
• Elizabeth Marlow, APRN
• Carol Ann Marshall, APRN BC PSYCH NP
• Ivy Lee Massengale, PA-C
• Maxim Healthcare Services, Inc
• Jack Thomas McAfee, F.N.P.
• Cammie McCallister, CNA

• Gerontology Nurse Practitioner in La Follette, TN
• Providers in La Follette, TN by specialty
• Gerontology Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.