Active NPI
Amanda Heaton
- Dental Hygienist
- Elizabethton, TN
National Provider Identifier
1790602233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 11533
- Practice address
- 131 Zeb Grindstaff Rd
Elizabethton, TN 37643-6460 - Phone
- (423) 736-1804
- Fax
- (423) 736-1804
- NPI assigned
- Jul 6, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 11533 | TN | Primary |
Addresses
Primary practice location
131 Zeb Grindstaff Rd
Elizabethton, TN 37643-6460
Mailing address
131 Zeb Grindstaff Rd
Elizabethton, TN 37643-6460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1790602233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 ZEB GRINDSTAFF RD",
"city": "ELIZABETHTON",
"state": "TN",
"postal_code": "376436460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 ZEB GRINDSTAFF RD",
"city": "ELIZABETHTON",
"state": "TN",
"postal_code": "376436460",
"telephone_number": "423-736-1804",
"fax_number": "423-736-1804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEATON",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-06",
"last_updated": "2026-07-06",
"certification_date": "2026-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "TN",
"license": "11533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elizabethton, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.