Individual provider Active NPI

Heather Hamstra, AGPCNP-BC

  • Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1760824007
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
17796 Issued in TN
Practice address
4409 Deerfield Rd
Knoxville, TN 37921-3116
Phone
(865) 454-0384
NPI assigned
Jul 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 17796 TN Primary

Addresses

Primary practice location

4409 Deerfield Rd
Knoxville, TN 37921-3116

Mailing address

4409 Deerfield Rd
Knoxville, TN 37921-3116
Phone (865) 454-0384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AL2 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
I20130828000294 TN Practitioner - Nurse Practitioner 0840433520 Reassigns benefits to 2 organizations
I20171219003618 AL Practitioner - Nurse Practitioner 0840433520

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
NP Health of TN PLLCGroup PAC ID 5395159883, 41 clinicians

Practice addresses (Care Compare)

122 Cavette Hill LN
Knoxville, TN 37934-6674
Phone (865) 777-4000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17796TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NP Health of TN PLLC CurrentSince Oct 24, 2022 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

122 Cavette Hill Ln
Knoxville, TN 37934
Phone (865) 777-4000

2120 Highland Ave
Knoxville, TN 37916
Phone (865) 386-6392

6500 Kirby Gate Blvd
Memphis, TN 38119
Phone (901) 230-2232

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": "1375056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375056000000",
    "number": "1760824007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4409 DEERFIELD RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379213116",
            "telephone_number": "865-454-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4409 DEERFIELD RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379213116",
            "telephone_number": "865-454-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMSTRA",
        "first_name": "HEATHER",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-29",
        "last_updated": "2013-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "17796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.