Active NPI
Elizabeth D. Flynn Heitman, A.P.N.
- Family Nurse Practitioner
- Germantown, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 905305
- 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, 2025
- 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 |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | admin@wcc.oncoemrdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 905305 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cancer Care Associates Inc | Current | Accepting new patients | |
| The West Clinic P.C. | Current | Accepting new patients | |
| Shelby County Health Care Corporation | Current | Accepting new patients | |
| Shelby County Health Care Corporation | Current | Accepting new patients | |
| Ivyraine Women's Clinic | Current | Accepting new patients | |
| The West Clinic P.C. | Current | 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
- 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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Memphis, TN
- NPI 1780685750
-
- Radiation Oncology Physician
- Jonesboro, AR
- NPI 1184968661
-
- Women's Health Nurse Practitioner
- Southaven, MS
- NPI 1962166264
-
dba Regional One Health Pharmacy PCS Walnut Grove
- Clinic Pharmacy
- Memphis, TN
- NPI 1629542493
-
- Hematology & Oncology Physician
- Southaven, MS
- NPI 1992877369
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Bernards Medical Center
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1922043686
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.