Individual provider Active NPI

Heather Nicole Boring Fedor, APN-C

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1376959726
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18776 Issued in TN
Practice address
3200 W End Ave
Nashville, TN 37203-1330
Phone
(866) 849-0692
NPI assigned
Jul 7, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11042823 FL
Family Nurse Practitioner 363LF0000X 18776 TN Primary
Family Nurse Practitioner 363LF0000X 86357 NM
Family Nurse Practitioner 363LF0000X 1207669 TX
Family Nurse Practitioner 363LF0000X 4045072 KY

Addresses

Primary practice location

3200 W End Ave
Nashville, TN 37203-1330

Mailing address

9137 Middlebrook Pike
Knoxville, TN 37923-1425
Phone (865) 670-0591

Other practice location 1

9137 Middlebrook Pike
Knoxville, TN 37923-1425
Phone (865) 670-0825

Other practice location 2

1907 Border Ave
Torrance, CA 90501-3606
Phone (844) 443-6246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, CA, NY, MI, NJ5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20141006001055 TN Practitioner - Nurse Practitioner 1456571967
I20241206001590 CA Practitioner - Nurse Practitioner 1456571967 Reassigns benefits to 1 organization
I20241230000483 NY Practitioner - Nurse Practitioner 1456571967 Reassigns benefits to 2 organizations
I20250203002228 MI Practitioner - Nurse Practitioner 1456571967 Reassigns benefits to 1 organization
I20250307000345 NJ Practitioner - Nurse Practitioner 1456571967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Medical Care PCGroup PAC ID 0042694549, 5 clinicians
Carlos a Smith MD Professional CorporationGroup PAC ID 9739544206, 4 clinicians
Mobile Medical Healthcare PCGroup PAC ID 3072919315, 8 clinicians

Practice addresses (Care Compare)

156 1St St
Mineola, NY 11501-4084
Phone (844) 443-6246

1907 Border Ave
Torrance, CA 90501-3606
Phone (585) 278-0502

35 W 35TH St
FL 4
New York, NY 10001-2249
Phone (844) 553-6246

35 W 35TH St
FL 5
New York, NY 10001-2271

493 W Norton Ave
Suite D
Norton Shores, MI 49444-3748
Phone (844) 443-6246

701 Cooper Rd
Suite 1
Voorhees, NJ 08043-3800
Phone (866) 349-4230

Merit-based Incentive Payment System (MIPS)

Final score
85.14 of 100Reported as group
Quality
83.39
Improvement activities
40
Cost
80.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11042823FLMDFamily Nurse Practitioner
4045072KYMDFamily Nurse Practitioner
86357NMMDFamily Nurse Practitioner
18776TNMDFamily Nurse Practitioner
1207669TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carlos a. Smith, M.D, Professional Corporation CurrentSince Oct 5, 2024 Accepting new patients
Mobile Medical Healthcare, P.C. CurrentSince Oct 6, 2024 Accepting new patients
Mobile Medical Care PC CurrentSince Oct 6, 2024 Accepting new patients
Mobile Urgent Care Medical Services PC CurrentSince Dec 27, 2024 Accepting new patients

Locations

1907 Border Ave
Torrance, CA 90501
Phone (585) 278-0502

493 W Norton Ave
Ste D
Norton Shores, MI 49444

701 Cooper Rd
Ste 1
Voorhees, NJ 08043
Phone (844) 553-6246

156 1st St
Mineola, NY 11501
Phone (516) 741-4082

35 W 35th St
Fl 5
New York, NY 10001
Phone (212) 273-9770

35 W 35th St
Fl 4
New York, NY 10001
Phone (844) 553-6246

685 3rd Ave
Fl 9
New York, NY 10017
Phone (212) 273-9770

35 W 35th St
Fl 6
New York, NY 10001
Phone (347) 903-5933

Interoperability endpoints

  • Direct secure messaging: heather.fedor.1@24989.direct.athenahealth.com

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": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1376959726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9137 MIDDLEBROOK PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379231425",
            "telephone_number": "865-670-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 W END AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031330",
            "telephone_number": "866-849-0692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9137 Middlebrook Pike",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379231425",
            "country_code": "US",
            "telephone_number": "865-670-0825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1907 Border Ave",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905013606",
            "country_code": "US",
            "telephone_number": "844-443-6246",
            "fax_number": "833-907-2235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEDOR",
        "first_name": "HEATHER",
        "middle_name": "NICOLE BORING",
        "name_prefix": "Mrs.",
        "credential": "APN-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-07",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11042823",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "18776",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "86357",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1207669",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4045072",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.