Individual provider Active NPI

Heidi Lynn Schwab, MSN, APN, CPNP

  • Pediatric Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1376843888
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
16436 Issued in TN
Practice address
1804 Hayes St
Nashville, TN 37203-2504
Phone
(615) 341-4911
NPI assigned
Oct 31, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 163377 TN
Registered Nurse 163W00000X 096927 CT
Pediatric Nurse Practitioner 363LP0200X 4541 CT
Pediatric Nurse Practitioner 363LP0200X 16436 TN Primary

Addresses

Primary practice location

1804 Hayes St
Nashville, TN 37203-2504

Mailing address

221 Old Tusculum Rd
Antioch, TN 37013-4013
Phone (615) 218-5433

Other practice location 1

85 Seymour St
Hartford, CT 06106-5501
Phone (860) 837-5890

Other identifiers 1

IdentifierTypeStateIssuer
12181413OtherCAQH

Other names 1

  • Heidi Lynn Dennis Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hschwab62553@connecticutchildrens.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20210922002668 CT Practitioner - Nurse Practitioner 6002213782 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4541CTMDSocial Worker
096927CTMDRegistered Nurse
163377TNMDRegistered Nurse
16436TNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Children'S Specialty Group, Inc. Pediatrics CurrentSince Sep 30, 2021 Accepting new patients
Connecticut Children'S Specialty Group, Inc. Pediatrics CurrentSince Sep 30, 2021 Accepting new patients
Our Kids PastSince Jul 24, 2022 Accepting new patients

Locations

800 Connecticut Blvd
Fl 1
East Hartford, CT 06108
Phone (800) 535-6232

599 Farmington Ave
Ste 202
Farmington, CT 06032
Phone (860) 837-5170

100 Retreat Ave
Ste 605
Hartford, CT 06106
Phone (860) 244-0148

85 Seymour St
Ste 500
Hartford, CT 06106
Phone (860) 545-9370

10 Columbus Blvd
Fl 4
Hartford, CT 06106
Phone (860) 837-5560

282 Washington St
Hartford, CT 06106
Phone (860) 545-8950

85 Seymour St
Ste 511
Hartford, CT 06106

85 Seymour St
Hartford, CT 06106
Phone (860) 246-4029

10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619

Interoperability endpoints

  • Direct secure messaging: hschwab62553@connecticutchildrens.direct-ci.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1288483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1376843888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 OLD TUSCULUM RD",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370134013",
            "telephone_number": "615-218-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 HAYES ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032504",
            "telephone_number": "615-341-4911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 Seymour St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061065501",
            "country_code": "US",
            "telephone_number": "860-837-5890",
            "fax_number": "860-837-8085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWAB",
        "first_name": "HEIDI",
        "middle_name": "LYNN",
        "credential": "MSN, APN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-31",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "163377",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "096927",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "4541",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "16436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12181413",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hschwab62553@connecticutchildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "85 Seymour St",
            "city": "Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061065501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "DENNIS",
            "middle_name": "LYNN",
            "credential": "MSN, APN, CPNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.