Active NPI
Katherine Emery Heginbottom
- Family Nurse Practitioner
- Spring Hill, TN
National Provider Identifier
1669957767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 24771
- Practice address
- 2000 Reserve Blvd
Spring Hill, TN 37174-2370 - Phone
- (931) 486-4200
- Fax
- (859) 281-5150
- NPI assigned
- Sep 25, 2018
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 24771 | TN | Primary |
Addresses
Primary practice location
2000 Reserve Blvd
Spring Hill, TN 37174-2370
Mailing address
PO Box 1227
Spring Hill, TN 37174-1227
Phone (931) 451-7946
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q044326 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181206003539 | TN | Practitioner - Nurse Practitioner | 8820332539 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2000 Reserve Blvd
Spring Hill, TN 37174-2370
Phone (931) 486-4200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William G Boger MD PLLC | Current | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718755200000",
"number": "1669957767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1227",
"city": "SPRING HILL",
"state": "TN",
"postal_code": "371741227",
"telephone_number": "931-451-7946",
"fax_number": "931-451-7934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 RESERVE BLVD",
"city": "SPRING HILL",
"state": "TN",
"postal_code": "371742370",
"telephone_number": "931-486-4200",
"fax_number": "859-281-5150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEGINBOTTOM",
"first_name": "KATHERINE",
"middle_name": "EMERY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-25",
"last_updated": "2024-06-19",
"certification_date": "2024-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "24771",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q044326",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spring Hill, TN
- HCA Health Services of Tennessee, Inc.
- HCA Health Services of Tennessee, Inc.
- HCA Health Services of Tennessee, Inc.
- HCA Health Services of Tennessee, Inc.
- Heartland Dental Care of TN, PC
- Ashton Hein, CCC-SLP
- Augusta Dunse Henderson, DPM
- Anna M Herring, P.A
- Alexander Hicks
- Brandi Renee' Hightower, LAT, ATC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.