Individual provider Active NPI

Heather R Bryant, F09171015

  • Family Nurse Practitioner
  • Elkton, KY
National Provider Identifier
1356851885
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3011775 Issued in KY
Practice address
810 S Main St
Elkton, KY 42220-8812
Phone
(270) 265-5600
Fax
(270) 265-5605
NPI assigned
Oct 11, 2017
Last updated
Jun 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 25882 TN
Family Nurse Practitioner 363LF0000X 3011775 KY Primary

Addresses

Primary practice location

810 S Main St
Elkton, KY 42220-8812

Mailing address

810 S Main St
Elkton, KY 42220-8812
Phone (270) 265-5600

Other practice location 1

1824 Memorial Dr
Clarksville, TN 37043-4605
Phone (931) 552-6070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20171030000149 KY Practitioner - Nurse Practitioner 7618243114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3011775KYMDFamily Nurse Practitioner
25882TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Helping Hands Health Clinic Inc Family Current Accepting new patients

Locations

810 S Main St
Elkton, KY 42220
Phone (270) 265-5600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1356851885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 S MAIN ST",
            "city": "ELKTON",
            "state": "KY",
            "postal_code": "422208812",
            "telephone_number": "270-265-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 S MAIN ST",
            "city": "ELKTON",
            "state": "KY",
            "postal_code": "422208812",
            "telephone_number": "270-265-5600",
            "fax_number": "270-265-5605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1824 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370434605",
            "country_code": "US",
            "telephone_number": "931-552-6070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "HEATHER",
        "middle_name": "R",
        "credential": "F09171015",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "25882",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, KY

Sources for this page

Verify at the official NPI Registry.