Individual provider Active NPI

Heather N Hambrick, NP

  • Nurse Practitioner
  • Johnson City, TN
National Provider Identifier
1780705434
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
12649 Issued in TN
Practice address
101 Med Tech Pkwy Ste 200
Johnson City, TN 37604-4001
Phone
(423) 232-6120
Fax
(833) 450-6025
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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 12649 TN Primary

Addresses

Primary practice location

101 Med Tech Pkwy Ste 200
Johnson City, TN 37604-4001

Mailing address

316 Marketplace Blvd Ste 20
Johnson City, TN 37604-2596
Phone (423) 794-5580

Other practice location 1

316 Marketplace Blvd Ste 20
Johnson City, TN 37604-2596
Phone (423) 794-5580

Other identifiers 1

IdentifierTypeStateIssuer
T03543BMedicaidTN

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
I20070913000848 TN Practitioner - Nurse Practitioner 6800980384 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
State of Franklin Healthcare Associates, PLLCGroup PAC ID 2466346291, 258 clinicians
Champion Physical Therapy LLC HallsGroup PAC ID 1355416306, shared by 4 NPIs, 277 clinicians

Practice addresses (Care Compare)

101 Med Tech Pkwy
Suite 200
Johnson City, TN 37604-4001
Phone 42323261201249

301 Med Tech Pkwy
Johnson City, TN 37604-2364
Phone (423) 794-5500

420 Railroad St
Elizabethton, TN 37643-2504
Phone (423) 297-1813

4307 N Roan St
Suite 7
Johnson City, TN 37615-4973
Phone (423) 491-5222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12649NCMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Specialists in Pain Management, PLLC Dba Spine & Pain Associates CurrentSince Oct 1, 2025 Accepting new patients
State of Franklin Healthcare Associates PLLC CurrentSince Oct 1, 2019 Accepting new patients
Specialists in Pain Management, PLLC Dba Spine & Pain Associates CurrentSince Oct 1, 2025 Accepting new patients
State of Franklin Healthcare Associates PLLC CurrentSince Apr 6, 2021 Accepting new patients
Boiling Spring Lakes Family Medicine, PC Past Accepting new patients
Medical Specialists of Johnson City Past Accepting new patients
Trinity Cancer Care, P.C. Past Accepting new patients
Medical Education Assistance Corporation PastSince Aug 1, 2015 Accepting new patients
East Tennessee Hematology/Oncology Assoc P.C. Past Accepting new patients

Locations

281 N Lyerly St
Ste 200
Chattanooga, TN 37404
Phone (423) 698-0850

301 Med Tech Pkwy
Ste 120
Johnson City, TN 37604
Phone (423) 794-5590

301 Med Tech Pkwy
Ste 110
Johnson City, TN 37604

303 Med Tech Pkwy
Ste 150
Johnson City, TN 37604
Phone (423) 282-8070

313 Princeton Rd
Ste 3
Johnson City, TN 37601
Phone (423) 282-4819

303 Med Tech Pkwy
Johnson City, TN 37604
Phone (423) 282-5611

316 Marketplace Blvd
Ste 20
Johnson City, TN 37604
Phone (423) 794-5500

215 E Springbrook Dr
Johnson City, TN 37601
Phone (423) 530-7900

301 Med Tech Pkwy
Johnson City, TN 37604
Phone (423) 302-6239

101 Med Tech Pkwy
Ste 200
Johnson City, TN 37604
Phone (423) 232-6120

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16348/brand/1/csg/1/fhir/r4
  • Direct secure messaging: heatherhambrick@sofha.allscriptsdirect.net
  • FHIR API: https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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 1

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": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1780705434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 MARKETPLACE BLVD STE 20",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042596",
            "telephone_number": "423-794-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MED TECH PKWY STE 200",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376044001",
            "telephone_number": "423-232-6120",
            "fax_number": "833-450-6025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 Marketplace Blvd Ste 20",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376042596",
            "country_code": "US",
            "telephone_number": "423-794-5580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMBRICK",
        "first_name": "HEATHER",
        "middle_name": "N",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "12649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T03543B",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.