Wanda J Hart

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

17213 Issued in TN

Practice address

105B Memorial Dr
Goodlettsville, TN 37072-1525

Phone

(615) 766-8207

Fax

(615) 766-8217

NPI assigned

Feb 14, 2013

Last updated

Oct 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Housecall Today, Inc

  • Family Medicine Physician
  • Nashville, TN
  • NPI 1326217852
  Medicare reassignment NPD
• Hart to Heart Medical

  dba Hart Medical Clinic

  • Family Nurse Practitioner
  • Goodlettsville, TN
  • NPI 1992331052
  NPD Authorized official
• Amg-Southern Tennessee LLC

  dba Highpoint Family Wellness - Blackwell with Ascension Saint Thomas

  • Rural Health Clinic/Center
  • Tullahoma, TN
  • NPI 1174365803
  NPD (past)
• Infinity Resources Inc

  • Family Nurse Practitioner
  • Nashville, TN
  • NPI 1629204037
  NPD (past)

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1881934610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 MYSTIC HILL DR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721252",
            "telephone_number": "615-310-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105B MEMORIAL DR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721525",
            "telephone_number": "615-766-8207",
            "fax_number": "615-766-8217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "WANDA",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-14",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "17213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Gail Harris, DDS
• Deidra Harrison-McClain
• Sandra Vivian Harshaw, CNT/ PHLEBOTOMY
• Hart to Heart Medical (Hart Medical Clinic)
• Nancy Borja Hart, PHARM. D.
• Belinda Hancock Hatcher, FNP-BC
• Yvonne Hayden, OTR
• Sheila Hayes, PTA
• Rita Hayward, LPC, MHSP
• Healing Halls LLC

• Family Nurse Practitioner in Goodlettsville, TN
• Providers in Goodlettsville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.

Verify at the official NPI Registry.