Active NPI
Heidi Harrom, M.D.
- Neurology Physician
- Nashville, TN
National Provider Identifier
1417016387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 42750
- Practice address
- 3443 Dickerson Pike
Ste 380
Nashville, TN 37207-2519 - Phone
- (615) 860-2221
- Fax
- (615) 860-9560
- NPI assigned
- Dec 7, 2006
- Last updated
- Jan 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 200601018 | NC | |
| Neurology Physician | 2084N0400X | 42750 | TN | Primary |
Addresses
Primary practice location
3443 Dickerson Pike
Ste 380
Nashville, TN 37207-2519
Mailing address
3443 Dickerson Pike
Ste 380
Nashville, TN 37207-2519
Phone (615) 860-2221
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103I269042 | Other | TN | MEDICARE PTAN |
| 4273676 | Other | TN | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200601018 | NC | MD | Neurology Physician |
| 42750 | TN | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rivergate Psychiatric & Behavioral Health | Past | Accepting new patients | |
| Nashville Anesthesia PLLC | Past | Accepting new patients | |
| African and American Healthcare Foundation | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Foundation Community Mental Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Madison, TN
- NPI 1548487473
-
dba Nashville Anesthesia Services
- Anesthesiology Physician
- Nashville, TN
- NPI 1225081805
-
- Psychiatry Physician
- Goodlettsville, TN
- NPI 1093757643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294012800000",
"number": "1417016387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3443 DICKERSON PIKE",
"address_2": "STE 380",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372072519",
"telephone_number": "615-860-2221",
"fax_number": "615-860-9560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3443 DICKERSON PIKE",
"address_2": "STE 380",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372072519",
"telephone_number": "615-860-2221",
"fax_number": "615-860-9560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARROM",
"first_name": "HEIDI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-07",
"last_updated": "2011-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NC",
"license": "200601018",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TN",
"license": "42750",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "103I269042",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4273676",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.