Teena Hedrick, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

21349 Issued in TN

Practice address

1855 Tanner Way
Ste 200
Harriman, TN 37748-8302

Phone

(865) 376-6272

Fax

(865) 376-0341

NPI assigned

Jul 11, 2016

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

Other identifiers 1

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

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.

• Covenant Medical Group, Inc.

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1457302010
  Medicare reassignment NPD
• Covenant Medical Group, Inc

  • Durable Medical Equipment & Medical Supplies
  • Knoxville, TN
  • NPI 1871269415
  NPD

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1366894602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 TANNER WAY",
            "address_2": "STE 200",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377488302",
            "telephone_number": "865-376-6272",
            "fax_number": "865-376-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 TANNER WAY",
            "address_2": "STE 200",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377488302",
            "telephone_number": "865-376-6272",
            "fax_number": "865-376-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDRICK",
        "first_name": "TEENA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "21349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q023576",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey J. Harris
• Samuel T. Harris, MD
• Harry G. Boye Jr., M.D., PC
• Michael T Hay, MD
• Terry Lynn Headrick, FNP-BC
• Catherine Jean Hellmann, FNP
• Mark B Hellmann, DPM
• Robert Shearer Hellmann Jr., M.D.
• Dianna Hicks, LPN
• Adam Hill, FNP-BC

• Nurse Practitioner in Harriman, TN
• Providers in Harriman, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.