Individual provider Active NPI

Heather H Polmonari, NP

  • Adult Health Nurse Practitioner
  • Bartlett, TN
National Provider Identifier
1699017962
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
17415 Issued in TN
Practice address
3091 Kirby Whitten Pkwy
Bartlett, TN 38134
Phone
(901) 752-6963
Fax
(901) 759-4704
NPI assigned
Mar 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 164008 TN
Adult Health Nurse Practitioner 363LA2200X 17415 TN Primary

Addresses

Primary practice location

3091 Kirby Whitten Pkwy
Bartlett, TN 38134

Mailing address

965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446

Other names 1

  • Ms. Heather Michelle Hamby Other name

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
I20130612000184 TN Practitioner - Nurse Practitioner 9234378886 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BMG Family Physicians Group Foundation IncGroup PAC ID 1557508983, 21 clinicians

Practice addresses (Care Compare)

3091 Kirby Whitten Rd
Bartlett, TN 38134-2822
Phone (901) 260-9303

4625 Poplar Ave
Memphis, TN 38117-4419
Phone (901) 260-9307

7685 Winchester Rd
Suite 100
Memphis, TN 38125-2202
Phone (901) 260-9301

8040 Wolf River Blvd
Suite 103
Germantown, TN 38138-1773
Phone (901) 726-0200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.58 of 100Reported as group
Quality
74.9
Promoting interoperability
100
Improvement activities
40
Cost
77.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
17415TNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BMG Family Physicians Group Foundation, Inc Adult Health CurrentSince Apr 17, 2013 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Apr 1, 2019 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Apr 1, 2019 Accepting new patients
Family Physicians Group PC Past Accepting new patients

Locations

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

3091 Kirby Whitten Rd
Bartlett, TN 38134
Phone (901) 260-9303

400 Market Blvd
Ste 101
Collierville, TN 38017
Phone (901) 260-9310

8110 Cordova Rd
Ste 111
Cordova, TN 38016

7685 Winchester Rd
Ste 100
Memphis, TN 38125
Phone (901) 260-9301

8040 Wolf River Blvd
Ste 103
Memphis, TN 38138
Phone (901) 725-8606

2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350

965 Ridge Lake Blvd
Ste 103
Memphis, TN 38120
Phone (901) 227-3221

Interoperability endpoints

  • FHIR API: https://rxedi.bmhcc.org/prd-fhir/api/FHIR/R4/
  • Direct secure messaging: hpolmonari28983@direct.bmhcc.org

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1699017962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 103",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3091 KIRBY WHITTEN PKWY",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "38134",
            "telephone_number": "901-752-6963",
            "fax_number": "901-759-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLMONARI",
        "first_name": "HEATHER",
        "middle_name": "H",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "164008",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "17415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "HAMBY",
            "middle_name": "MICHELLE",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bartlett, TN

Sources for this page

Verify at the official NPI Registry.