Individual provider Active NPI

Kathryn Leigh Heckle, CPNP-PC

  • Pediatric Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1376024844
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APN24515 Issued in TN
Practice address
140 Dameron Ave
Knoxville, TN 37917-6413
Phone
(865) 934-6100
Fax
(865) 342-0100
NPI assigned
Aug 23, 2018
Last updated
Sep 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X APN24515 TN Primary
Registered Nurse 163W00000X 2015017630 MO

Addresses

Primary practice location

140 Dameron Ave
Knoxville, TN 37917-6413

Mailing address

6350 W Andrew Johnson Hwy
Talbott, TN 37877-8605
Phone (800) 355-3565

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kathryn.heckle.p1@direct.cherokeehealth.nextgenshare.com Direct

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
I20180920002212 TN Practitioner - Nurse Practitioner 1759632367 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2015017630MOMDRegistered Nurse
APN24515TNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Health Systems CurrentSince Aug 20, 2018 Accepting new patients
Cherokee Health Systems CurrentSince Aug 20, 2018 Accepting new patients
Children's Urgent Care, LLC PastSince Nov 30, 2020 Accepting new patients
Urgent Care for Children, PLLC Pediatrics PastSince Oct 11, 2020 Accepting new patients

Locations

140 Dameron Ave
Knoxville, TN 37917
Phone (865) 215-5172

6350 W Andrew Johnson Hwy
Talbott, TN 37877
Phone (423) 586-5031

6350 W Andrew Johnson Hwy
#100
Talbott, TN 37877
Phone (423) 586-5031

Organizations & group practices 4

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": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1376024844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 W ANDREW JOHNSON HWY",
            "city": "TALBOTT",
            "state": "TN",
            "postal_code": "378778605",
            "telephone_number": "800-355-3565",
            "fax_number": "423-714-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 DAMERON AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379176413",
            "telephone_number": "865-934-6100",
            "fax_number": "865-342-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECKLE",
        "first_name": "KATHRYN",
        "middle_name": "LEIGH",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "APN24515",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2015017630",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kathryn.heckle.p1@direct.cherokeehealth.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Direct Message Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Message Address",
            "address_1": "140 Dameron Ave",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379176413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.