Individual provider Active NPI

Heather N McFarland

  • Rural Health Clinic/Center
  • Jackson, TN
National Provider Identifier
1811028475
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Practice address
621 Old Hickory Blvd Ste G
Jackson, TN 38305-2911
Phone
(731) 660-6402
Fax
(731) 664-6603
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN7450 TN
Rural Health Clinic/Center 261QR1300X TN Primary

Addresses

Primary practice location

621 Old Hickory Blvd Ste G
Jackson, TN 38305-2911

Mailing address

621 Old Hickory Blvd Ste G
Jackson, TN 38305-2911
Phone (731) 660-6828

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
I20080915000082 TN Practitioner - Nurse Practitioner 0547336695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madison Family PracticeGroup PAC ID 5991829228, 4 clinicians

Practice addresses (Care Compare)

621 Old Hickory Blvd
Suite G
Jackson, TN 38305-2911
Phone (731) 660-6402

621 Old Hickory Blvd G
Jackson, TN 38305-2911

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN7450TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Family Practice Rural Health CurrentSince Sep 1, 2009 Accepting new patients
Professional Imaging of Tennessee PastSince Sep 1, 2009 Accepting new patients

Locations

621 Old Hickory Blvd
Ste G
Jackson, TN 38305
Phone (731) 660-6402

524 S Broad St
Lexington, TN 38351
Phone (731) 651-0300

605 Hwy 45E S
Medina, TN 38355
Phone (731) 783-0239

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lexington Family PracticeLexington, TN, CCN 448924 Rural health clinic 5% Or Greater Direct Ownership Interest May 20, 2013
Medina Family PracticeMedina, TN, CCN 448972 Rural health clinic 5% Or Greater Direct Ownership Interest Aug 23, 2011

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1811028475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 OLD HICKORY BLVD STE G",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052911",
            "telephone_number": "731-660-6828",
            "fax_number": "731-660-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 OLD HICKORY BLVD STE G",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052911",
            "telephone_number": "731-660-6402",
            "fax_number": "731-664-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFARLAND",
        "first_name": "HEATHER",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN7450",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.