Individual provider Active NPI

Heather Leanne-Crabtree Blakely, FNP-BC

  • Family Nurse Practitioner
  • Johnson City, TN
National Provider Identifier
1871420364
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
15199788 Issued in TN
Practice address
801 E Watauga Ave # 2
Johnson City, TN 37601-4113
Phone
(423) 773-9779
NPI assigned
May 7, 2026
Last updated
May 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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 0024194275 VA
Family Nurse Practitioner 363LF0000X 15199788 TN Primary

Addresses

Primary practice location

801 E Watauga Ave # 2
Johnson City, TN 37601-4113

Mailing address

801 E Watauga Ave # 2
Johnson City, TN 37601-4113
Phone (423) 773-9779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15199788TNMDFamily Nurse Practitioner
0024194275VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health & Wellness PLLC CurrentSince Jun 9, 2026 Accepting new patients

Locations

801 E Watauga Ave
#2
Johnson City, TN 37601
Phone (423) 773-9779

801 E Watauga Ave
Ste 2
Johnson City, TN 37601
Phone (423) 773-0300

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1778112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1871420364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E WATAUGA AVE # 2",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376014113",
            "telephone_number": "423-773-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E WATAUGA AVE # 2",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376014113",
            "telephone_number": "423-773-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKELY",
        "first_name": "HEATHER",
        "middle_name": "LEANNE-CRABTREE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-07",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024194275",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "15199788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.