Heather Jeanette Dickson, PMHNP

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

8077 Issued in TN

Practice address

201 Remington CT
Kingsport, TN 37663-3496

Phone

(423) 863-8037

NPI assigned

Apr 18, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, DC2 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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Open Minds Psychiatric and Mental

  • Psychiatric/Mental Health Nurse Practitioner
  • Bristol, TN
  • NPI 1598476681
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  DC, Psychiatry, TN

  Medicare reassignment NPD
• Occupational Alternative and Rehabilitative Services, PC

  • Physical Medicine & Rehabilitation Physician
  • Chattanooga, TN
  • NPI 1487743449
  NPD (past)
• Southern Rehabilitation Group, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Chattanooga, TN
  • NPI 1609965656
  NPD (past)

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1508611096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 REMINGTON CT",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376633496",
            "telephone_number": "423-863-8037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 REMINGTON CT",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376633496",
            "telephone_number": "423-863-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKSON",
        "first_name": "HEATHER",
        "middle_name": "JEANETTE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "TN",
            "license": "8077",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "8077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Dew, M.D.
• Stephen E Dexter, M.D.
• Kyle J Dickall
• Debra D Dickens, RN
• Ernest Dickson, PT
• Paul Diers, PA-C
• Daniel Martin Dietrich, D.D.S.
• Kelli Lynn Dillon, BSW
• Bradley Bishop Diminick, DDS
• Marin Dimitrov, MD

• Psychiatry Physician in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.