Active NPI
Heather Nicole Lopez, M.D.
- Pediatrics Physician
- Knoxville, TN
National Provider Identifier
1508186818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 49769
- Practice address
- 1400 Dutch Valley Dr
Knoxville, TN 37918-1424 - Phone
- (865) 689-1122
- Fax
- (866) 340-3781
- NPI assigned
- Jun 9, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 49769 | TN | Primary |
Addresses
Primary practice location
1400 Dutch Valley Dr
Knoxville, TN 37918-1424
Mailing address
PO Box 15004
Knoxville, TN 37901-5004
Phone (865) 541-8895
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1533307 | Medicaid | TN |
Other names 1
- Miss Heather Nicole Mitchell
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 |
|---|---|---|---|
| 49769 | TN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Health Systems | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Talbott, TN
- NPI 1134128820
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649376000000",
"number": "1508186818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15004",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379015004",
"telephone_number": "865-541-8895",
"fax_number": "865-633-4808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 DUTCH VALLEY DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379181424",
"telephone_number": "865-689-1122",
"fax_number": "866-340-3781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "HEATHER",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-09",
"last_updated": "2022-04-08",
"certification_date": "2022-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "49769",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1533307",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "MITCHELL",
"middle_name": "NICOLE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.