Individual provider Active NPI

Heather Stevens Wight, MD

  • Pediatrics Physician
  • Alcoa, TN
National Provider Identifier
1780787705
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
38469 Issued in TN
Practice address
352 Fountain View Circle
Alcoa, TN 37701-1945
Phone
(865) 982-0032
Fax
(866) 307-8963
NPI assigned
Sep 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 38469 TN Primary

Addresses

Primary practice location

352 Fountain View Circle
Alcoa, TN 37701-1945

Mailing address

PO Box 15004
Knoxville, TN 37901-5004
Phone (865) 541-8895

Other practice location 1

125 Mountain View Dr Ste 200
Vonore, TN 37885-2666
Phone (423) 884-2170

Other identifiers 1

IdentifierTypeStateIssuer
Q007688MedicaidTN

Other names 1

  • Heather Lynne Stevens Former 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190419000528 TN Practitioner - Pediatric Medicine 4587906698 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38469TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Tennessee Children'S Primary Care Center, Inc. Pediatrics CurrentSince Feb 26, 2019 Accepting new patients
East Tennessee Children'S Primary Care Center, Inc. Pediatrics CurrentSince Feb 26, 2019 Accepting new patients
East Tennessee Children'S Primary Care Center, Inc. Pediatrics Past Accepting new patients
Pediatric Physician Services, Inc. Pediatrics PastSince Oct 1, 2001 Accepting new patients

Locations

352 Fountain View Cir
Alcoa, TN 37701
Phone (865) 982-0032

611 22nd St
Knoxville, TN 37916
Phone (865) 522-4153

414 Greenbelt Dr
Maryville, TN 37804
Phone (865) 637-8812

125 Mountain View Dr
Ste 200
Vonore, TN 37885
Phone (423) 884-2170

125 Mountain View Dr
Ste 300
Vonore, TN 37885
Phone (423) 884-2170

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.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1780787705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15004",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379015004",
            "telephone_number": "865-541-8895",
            "fax_number": "865-633-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 FOUNTAIN VIEW CIRCLE",
            "city": "ALCOA",
            "state": "TN",
            "postal_code": "377011945",
            "telephone_number": "865-982-0032",
            "fax_number": "866-307-8963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Mountain View Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Vonore",
            "state": "TN",
            "postal_code": "378852666",
            "country_code": "US",
            "telephone_number": "423-884-2170",
            "fax_number": "866-330-9583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIGHT",
        "first_name": "HEATHER",
        "middle_name": "STEVENS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "38469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q007688",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "STEVENS",
            "middle_name": "LYNNE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alcoa, TN

Sources for this page

Verify at the official NPI Registry.