Individual provider Active NPI

Katherine Emery Heginbottom

  • Family Nurse Practitioner
  • Spring Hill, TN
National Provider Identifier
1669957767
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24771 Issued in TN
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

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
Q044326MedicaidTN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
William G Boger MD PLLCGroup PAC ID 5496937278, 3 clinicians

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

OrganizationSpecialtyStatusNew patients
William G Boger MD PLLC CurrentSince May 1, 2024 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

Sources for this page

Verify at the official NPI Registry.