Individual provider Active NPI

Elizabeth D. Flynn Heitman, A.P.N.

  • Family Nurse Practitioner
  • Germantown, TN
National Provider Identifier
1811931553
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
905305 Issued in MS
Practice address
7945 Wolf River Blvd
Germantown, TN 38138-1762
Phone
(901) 683-0055
Fax
(901) 685-2969
NPI assigned
Jun 15, 2006
Last updated
Jul 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 905305 MS Primary

Addresses

Primary practice location

7945 Wolf River Blvd
Germantown, TN 38138-1762

Mailing address

7714 Poplar Ave Ste 200
Germantown, TN 38138-3941
Phone (901) 683-0055

Other practice location 1

3964 Goodman Rd E
Southaven, MS 38672-8761
Phone (662) 865-8440

Other names 1

  • Elizabeth Darby Flynn Heitman Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@wcc.oncoemrdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS, AR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20060727000465 TN Practitioner - Nurse Practitioner 5193738714 Reassigns benefits to 2 organizations
I20060901000321 MS Practitioner - Nurse Practitioner 5193738714 Reassigns benefits to 2 organizations
I20250729001344 AR Practitioner - Nurse Practitioner 5193738714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cancer Care Associates IncGroup PAC ID 2769637222, 23 clinicians
The West Clinic P.C.Group PAC ID 2668360579, 115 clinicians

Practice addresses (Care Compare)

1588 Union Ave
Memphis, TN 38104-3729
Phone (901) 683-0055

225 E Washington Ave
Jonesboro, AR 72401-3111
Phone (870) 207-8210

7668 Airways Blvd
Southaven, MS 38671-5304
Phone (662) 349-9556

7945 Wolf River Blvd
Germantown, TN 38138-1762
Phone (901) 683-0055

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
905305MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Care Associates Inc CurrentSince Aug 1, 2025 Accepting new patients
The West Clinic P.C. CurrentSince Jun 3, 2025 Accepting new patients
Shelby County Health Care Corporation CurrentSince Sep 1, 2025 Accepting new patients
Shelby County Health Care Corporation CurrentSince Sep 1, 2025 Accepting new patients
Ivyraine Women's Clinic CurrentSince Dec 11, 2023 Accepting new patients
The West Clinic P.C. CurrentSince Jun 3, 2025 Accepting new patients

Locations

225 E Jackson Ave
Jonesboro, AR 72401
Phone (870) 207-1630

225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630

3964 Goodman Rd E
Southaven, MS 38672
Phone (662) 420-7350

3964 Goodman Rd E
Ste 131
Southaven, MS 38672
Phone (662) 856-8440

7668 Airways Blvd
Southaven, MS 38671
Phone (662) 349-9556

100 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 747-1800

1588 Union Ave
Memphis, TN 38104
Phone (901) 276-2410

7714 Poplar Ave
Ste 200
Memphis, TN 38138
Phone (901) 322-9080

7945 Wolf River Blvd
Memphis, TN 38138
Phone (901) 448-7000

877 Jefferson Ave
Memphis, TN 38103
Phone (901) 448-5893

Interoperability endpoints

  • Direct secure messaging: admin@wcc.oncoemrdirect.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1811931553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7714 POPLAR AVE STE 200",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383941",
            "telephone_number": "901-683-0055",
            "fax_number": "901-922-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7945 WOLF RIVER BLVD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381762",
            "telephone_number": "901-683-0055",
            "fax_number": "901-685-2969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3964 Goodman Rd E",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386728761",
            "country_code": "US",
            "telephone_number": "662-865-8440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLYNN HEITMAN",
        "first_name": "ELIZABETH",
        "middle_name": "D.",
        "credential": "A.P.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@wcc.oncoemrdirect.com",
            "affiliation": "N",
            "address_1": "7945 Wolf River Blvd",
            "city": "Germantown",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381381762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "FLYNN HEITMAN",
            "middle_name": "DARBY",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.