Tavithia Heidelburg, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

902245 Issued in MS

Practice address

PO Box 261
Brandon, MS 39043-0261

Phone

(601) 353-8486

NPI assigned

Jan 28, 2018

Last updated

Mar 2, 2026By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Audrey Home and Healthcare Services LLC

  • Family Nurse Practitioner
  • Hattiesburg, MS
  • NPI 1730043118
  Medicare reassignment NPD Authorized official
• Hutton Healthcare Services

  • Family Nurse Practitioner
  • Hattiesburg, MS
  • NPI 1326294570
  NPD (past)
• Trustcare Primary Care, LLC

  dba TrustCare Health, LLC

  • Family Medicine Physician
  • Madison, MS
  • NPI 1174078554
  NPD (past)

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

{
    "created_epoch": "1517097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1548768260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 261",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390430261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 261",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390430261",
            "telephone_number": "601-353-8486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDELBURG",
        "first_name": "TAVITHIA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-28",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Hayden
• Valorie Katrice Hays, RN
• Healing Pathways Support Services, LLC
• Hearts of Gold Ministry, LLC
• Heavenly Homecare & Hospice LLC
• Anna Claire Heindl, PHARM.D.
• Mackenzie Nicole Heine, DPT
• Marc Hellrung, M.D.
• Henry W. Cook, DMD, PA
• Rebecca Lane Herring, FNP-C

• Family Nurse Practitioner in Brandon, MS
• Providers in Brandon, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.