Active NPI
Heather Renee Rose, FNP-C
- Family Nurse Practitioner
- Abingdon, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024190898
- Practice address
- 16000 Johnston Memorial Dr
Abingdon, VA 24211-7664 - Phone
- (276) 258-1000
- Fax
- (276) 628-3857
- NPI assigned
- Aug 6, 2024
- Last updated
- Jan 5, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024190898 | VA | Primary |
| Family Nurse Practitioner | 363LF0000X | 36787 | TN |
Addresses
Primary practice location
16000 Johnston Memorial Dr
Abingdon, VA 24211-7664
Mailing address
1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 952-2111
Other practice location 1
130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 224-4000
Other practice location 2
98 15th St NW Ste 207
Norton, VA 24273-1600
Phone (276) 439-1490
Other practice location 3
400 N State Of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-6111
Other practice location 4
1485 Flatwoods Rd
Coeburn, VA 24230-3738
Phone (276) 219-4378
Other practice location 5
2202 N John B Dennis Hwy Ste 110
Kingsport, TN 37660-5904
Phone (423) 578-8400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 224-3150
4862 Dickenson Hwy
Clintwood, VA 24228-1810
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36787 | TN | MD | Emergency Medicine Physician |
| 0024190898 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WPS Providers Inc | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Past | Accepting new patients | |
| St. Charles Health Council, Inc | Past | Accepting new patients |
Locations
1 Medical Park Blvd
Ste 210E
Bristol, TN 37620
Phone (423) 224-4000
1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565
400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310
130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150
2202 N John B Dennis Hwy
Ste 110
Kingsport, TN 37660
Phone 4235788400 ext. 88500
16000 Johnston Memorial Dr
Abingdon, VA 24211
Phone (276) 258-1000
24530 Falcon Place Blvd
Ste 100
Abingdon, VA 24211
Phone (276) 619-0075
323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612
98 15th St NW
Ste 207
Norton, VA 24273
Phone (276) 439-1295
Organizations & group practices 7
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.
-
dba Ballad Health Medical Associates
- Cardiovascular Disease Physician
- Marion, VA
- NPI 1326159567
-
- Physical Therapist
- Clintwood, VA
- NPI 1871513788
-
dba Ballad Health Medical Associates
- Hospitalist Physician
- Abingdon, VA
- NPI 1104171826
-
dba Ballad Health Medical Associates
- Family Medicine Physician
- Johnson City, TN
- NPI 1982553756
-
dba Stone Mountain Health Services Pharmacy
- Pharmacy
- Ewing, VA
- NPI 1275594095
-
dba Ballad Health Medical Associates
- Psychiatry Physician
- Johnson City, TN
- NPI 1275393522
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grundy, VA
- NPI 1225036346
-
dba Lonesome Pine Hospital
- General Acute Care Hospital
- Big Stone Gap, VA
- NPI 1801826912
-
dba Holston Valley Medical Center
- General Acute Care Hospital
- Kingsport, TN
- NPI 1487690400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767571200000",
"number": "1700616414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 W OAKLAND AVE STE 310",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042192",
"telephone_number": "423-952-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16000 JOHNSTON MEMORIAL DR",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242117664",
"telephone_number": "276-258-1000",
"fax_number": "276-628-3857"
}
],
"practiceLocations": [
{
"address_1": "130 W Ravine Rd",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376603837",
"country_code": "US",
"telephone_number": "423-224-4000",
"fax_number": "423-224-3169",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "98 15th St NW Ste 207",
"address_purpose": "LOCATION",
"city": "Norton",
"state": "VA",
"postal_code": "242731600",
"country_code": "US",
"telephone_number": "276-439-1490",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 N State Of Franklin Rd",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376046035",
"country_code": "US",
"telephone_number": "423-431-6111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1485 Flatwoods Rd",
"address_purpose": "LOCATION",
"city": "Coeburn",
"state": "VA",
"postal_code": "242303738",
"country_code": "US",
"telephone_number": "276-219-4378",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2202 N John B Dennis Hwy Ste 110",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376605904",
"country_code": "US",
"telephone_number": "423-578-8400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSE",
"first_name": "HEATHER",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-06",
"last_updated": "2026-01-05",
"certification_date": "2026-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024190898",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "36787",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Abingdon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.
- 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.