Heather Marie Bolinger, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

166378 Issued in TN

Practice address

616 Smithview Dr.
Maryville, TN 37803

Phone

(865) 379-2277

Fax

(865) 379-2212

NPI assigned

Jun 17, 2013

Last updated

Nov 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Cedar Creek Pediatric & Adolescent Medicine, PC

  • Pediatrics Physician
  • Maryville, TN
  • NPI 1003039223
  NPD (past)

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1396184081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 SMITHVIEW DR.",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "37803",
            "telephone_number": "865-379-2277",
            "fax_number": "865-379-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 SMITHVIEW DR.",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "37803",
            "telephone_number": "865-379-2277",
            "fax_number": "865-379-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLINGER",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "17674",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "166378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q000713",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle Boden, MD
• Andrew Bokal, PHARMD
• Melissa Crouch Boley, MA CCC-SLP
• Barbara Bolin, LCSW
• Anita Bolinger
• Tracy L Bolling, PHARMD
• Krista Bombara
• Alex Bonk, O.D.
• Taylor Booth, LMSW
• Hamilton Borden, PHARMD

• Family Nurse Practitioner in Maryville, TN
• Providers in Maryville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.