Individual provider Active NPI

Heather Deann Wyatt, FNP-C

  • Family Nurse Practitioner
  • Greenville, TX
National Provider Identifier
1447975784
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1092649 Issued in TX
Practice address
4001 Ridgecrest Rd Ste a
Greenville, TX 75402-6143
Phone
(903) 453-2850
Fax
(903) 453-2859
NPI assigned
Oct 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1092649 TX
Family Nurse Practitioner 363LF0000X 1092649 TX Primary
Nurse Practitioner 363L00000X F08220280 TX

Addresses

Primary practice location

4001 Ridgecrest Rd Ste a
Greenville, TX 75402-6143

Mailing address

4215 Joe Ramsey Blvd E
Greenville, TX 75401-7852
Phone (903) 408-5834

Other practice location 1

4215 Joe Ramsey Blvd E
Greenville, TX 75401-7852
Phone (903) 408-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230608000547 TX Practitioner - Nurse Practitioner 2062442007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hunt Memorial Hospital DistrictGroup PAC ID 6406768936, 36 clinicians

Practice addresses (Care Compare)

4001 Ridgecrest Rd
Suite a
Greenville, TX 75402-6143
Phone (903) 453-2850

Hospital & facility affiliations

  • Hunt Regional Medical Center Hospital, Greenville, TX, CCN 450352

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F08220280TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hunt Memorial Hospital District Family Medicine CurrentSince Apr 16, 2023 Accepting new patients
Hunt Memorial Hospital District CurrentSince Apr 16, 2023 Accepting new patients
Hunt Memorial Hospital District Past Accepting new patients

Locations

4215 Ramsey Blvd E
Greenville, TX 75401
Phone (903) 408-1470

501 Air Park Ave
Greenville, TX 75402
Phone (800) 806-2067

4001 Ridgecrest Rd
Ste A
Greenville, TX 75402
Phone (903) 453-2850

8301 Lakeview Pkwy
Ste 107
Rowlett, TX 75088
Phone (972) 475-5122

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1447975784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 JOE RAMSEY BLVD E",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017852",
            "telephone_number": "903-408-5834",
            "fax_number": "903-408-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 RIDGECREST RD STE A",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754026143",
            "telephone_number": "903-453-2850",
            "fax_number": "903-453-2859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4215 Joe Ramsey Blvd E",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "TX",
            "postal_code": "754017852",
            "country_code": "US",
            "telephone_number": "903-408-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYATT",
        "first_name": "HEATHER",
        "middle_name": "DEANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "1092649",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1092649",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "F08220280",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

Verify at the official NPI Registry.