Organization Active NPI

Thompson Family Health and Wellness

  • Family Nurse Practitioner
  • Waverly, TN
National Provider Identifier
1912659939
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
THOMPSON FAMILY HEALTH AND WELLNESS
Practice address
502 W Main St
Waverly, TN 37185-1407
Phone
(931) 299-5001
Fax
(931) 299-5003
NPI assigned
Jan 20, 2022
Last updated
Nov 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Authorized official

Name
Heather Blue ThompsonNPI 1477124881
Title
Owner/FNP
Phone
(931) 622-4601

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

502 W Main St
Waverly, TN 37185-1407

Mailing address

502 W Main St
Waverly, TN 37185-1407
Phone (931) 299-5001

Other practice location 1

10161 US Highway 70 E
Mc Ewen, TN 37101-4442
Phone (931) 582-3170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220419000062 TN Part B Supplier - Clinic/Group Practice 5698162832 Receives reassigned benefits from 3 practitioners
Practice locations: MC Ewen, TN; Waverly, TN

National Provider Directory

National Provider Directory

Locations

105 Pavo St
Waverly, TN 37185

502 W Main St
Waverly, TN 37185
Phone (931) 296-2747

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26572/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764115200000",
    "number": "1912659939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W MAIN ST",
            "city": "WAVERLY",
            "state": "TN",
            "postal_code": "371851407",
            "telephone_number": "931-299-5001",
            "fax_number": "931-299-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W MAIN ST",
            "city": "WAVERLY",
            "state": "TN",
            "postal_code": "371851407",
            "telephone_number": "931-299-5001",
            "fax_number": "931-299-5003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10161 US Highway 70 E",
            "address_purpose": "LOCATION",
            "city": "Mc Ewen",
            "state": "TN",
            "postal_code": "371014442",
            "country_code": "US",
            "telephone_number": "931-582-3170",
            "fax_number": "931-582-3178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THOMPSON FAMILY HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-20",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "BLUE",
        "authorized_official_title_or_position": "OWNER/FNP",
        "authorized_official_telephone_number": "931-622-4601"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.