Individual provider Active NPI

Heather Marie Wood, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • White House, TN
National Provider Identifier
1689134645
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25035 Issued in TN
Practice address
510 Highway 76
White House, TN 37188-9203
Phone
(615) 581-5089
NPI assigned
Mar 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP0000025035 TN
Family Nurse Practitioner 363LF0000X 25035 TN Primary

Addresses

Primary practice location

510 Highway 76
White House, TN 37188-9203

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108

Other practice location 1

2945 Scottsville Rd
Bowling Green, KY 42104-6331
Phone (270) 783-3992

Other identifiers 2

IdentifierTypeStateIssuer
3015174OtherKYKENTUCKY APRN LICENSE
0000025035OtherTNTN APRN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 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

Enrollment IDStateProvider typePAC IDDetails
I20190625004009 TN Practitioner - Nurse Practitioner 0143554170 Reassigns benefits to 1 organization
I20201021001553 KY Practitioner - Nurse Practitioner 0143554170 Reassigns benefits to 1 organization

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
Aspirus Rhinelander and Tomahawk Hospitals and Clinics, Inc.Group PAC ID 9335059856, shared by 17 NPIs, 566 clinicians
The Little Clinic of Tennessee LLCGroup PAC ID 4688762800, 132 clinicians

Practice addresses (Care Compare)

240 Maple St
Woodruff, WI 54568-9190
Phone (715) 356-8140

510 W Hwy 76
White House, TN 37189-9203
Phone (615) 581-5089

Merit-based Incentive Payment System (MIPS)

Final score
85.88 of 100Reported as group
Quality
71.04
Promoting interoperability
100
Improvement activities
40
Cost
81.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
NP0000025035TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Little Clinic of Tennessee LLC Family CurrentSince May 14, 2019 Accepting new patients
Kiosk Medicine Kentucky LLC Family CurrentSince Jul 21, 2020 Accepting new patients

Locations

2945 Scottsville Rd
Ste E32
Bowling Green, KY 42104
Phone (270) 783-3992

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

1010 Glenbrook Way
Hendersonville, TN 37075
Phone (615) 590-1018

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

510 Highway 76
White House, TN 37188
Phone (615) 581-5089

Interoperability endpoints

  • Direct secure messaging: heather.wood@krogerhealth.eclinicaldirectplus.com

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": "1553385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1689134645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 HIGHWAY 76",
            "city": "WHITE HOUSE",
            "state": "TN",
            "postal_code": "371889203",
            "telephone_number": "615-581-5089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2945 Scottsville Rd",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421046331",
            "country_code": "US",
            "telephone_number": "270-783-3992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-24",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "NP0000025035",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "25035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY APRN LICENSE",
            "identifier": "3015174",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN APRN LICENSE",
            "identifier": "0000025035",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White House, TN

Sources for this page

Verify at the official NPI Registry.