Individual provider Active NPI

Heidi M Bradley, RN FNP-BC

  • Family Nurse Practitioner
  • McMinnville, TN
National Provider Identifier
1366220808
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
34411 Issued in TN
Practice address
1589 Sparta St Ste 203
McMinnville, TN 37110-1332
Phone
(931) 815-0032
NPI assigned
Sep 18, 2023
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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 34411 TN Primary

Addresses

Primary practice location

1589 Sparta St Ste 203
McMinnville, TN 37110-1332

Mailing address

1589 Sparta St Ste 203
McMinnville, TN 37110-1332
Phone (931) 815-0032

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
I20231213000253 TN Practitioner - Nurse Practitioner 3274982400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tennessee Oncology PLLCGroup PAC ID 4688586134, 355 clinicians

Practice addresses (Care Compare)

1589 Sparta St
Suite 306
MC Minnville, TN 37110-1389
Phone (931) 815-0032

Merit-based Incentive Payment System (MIPS)

Final score
92.71 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Oncology PLLC CurrentSince Apr 22, 2024 Accepting new patients

Locations

1589 Sparta St
McMinnville, TN 37110
Phone (931) 815-2663

1589 Sparta St
Ste 203
McMinnville, TN 37110
Phone (931) 668-4585

1589 Sparta St
Ste 306
McMinnville, TN 37110
Phone (931) 815-0032

1750 Cedar Ln
Ste 200
Tullahoma, TN 37388
Phone (615) 333-2481

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": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1366220808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1589 SPARTA ST STE 203",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371101332",
            "telephone_number": "931-815-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1589 SPARTA ST STE 203",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371101332",
            "telephone_number": "931-815-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "HEIDI",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "RN FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "34411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, TN

Sources for this page

Verify at the official NPI Registry.