Active NPI
Heather Middleton
- Behavior Analyst
- Knoxville, TN
National Provider Identifier
1811531874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 896
- Practice address
- 11121 Kingston Pike Ste F
Knoxville, TN 37934-2864 - Phone
- (865) 328-0841
- Fax
- (317) 520-8200
- NPI assigned
- Nov 3, 2019
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 896 | TN | Primary |
Addresses
Primary practice location
11121 Kingston Pike Ste F
Knoxville, TN 37934-2864
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-21-54776 | Other | TN | BACB |
| RBT-19-99478 | Other | TN | BACB |
Other names 1
- Heather Hansen
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 896 | TN | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mosaic Village | Behavior Analyst | Current | Accepting new patients |
| Hopebridge LLC | Behavior Analyst | Past | Accepting new patients |
| ABA Interventions, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Behavior Analyst
- Hildale, UT
- NPI 1942032776
-
- Behavior Analyst
- Knoxville, TN
- NPI 1609235910
-
- Child & Adolescent Psychiatry Physician
- Brentwood, TN
- NPI 1881352177
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681430400000",
"number": "1811531874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 DEPAUW BLVD STE 3070",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462686135",
"telephone_number": "855-324-0885",
"fax_number": "317-520-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11121 KINGSTON PIKE STE F",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379342864",
"telephone_number": "865-328-0841",
"fax_number": "317-520-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDDLETON",
"first_name": "HEATHER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-03",
"last_updated": "2023-04-14",
"certification_date": "2023-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TN",
"license": "896",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "1-21-54776",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "RBT-19-99478",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "HANSEN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.