Heidi R. Nussbaumer-Story, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

127389 Issued in TN

Practice address

647 Dunlop LN
Suite 100
Clarksville, TN 37040-5165

Phone

(931) 551-8991

Fax

(931) 551-4053

NPI assigned

Jun 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Dino a Delaurentis DO PLLC

  • Urology Physician
  • Clarksville, TN
  • NPI 1487093225
  NPD

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1922044056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-851-6033",
            "fax_number": "615-851-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 DUNLOP LN",
            "address_2": "SUITE 100",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405165",
            "telephone_number": "931-551-8991",
            "fax_number": "931-551-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUSSBAUMER-STORY",
        "first_name": "HEIDI",
        "middle_name": "R.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "127389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "6046859",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q015246",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan M Null
• Simone Null, SBD
• Natalie A Nultgren, RBT
• Nurturehope Care, Inc.
• Tyler Nusbaum
• Nutrition for You, LLC
• Mackenzie Leilani Nutting
• Crystal Nyhus, LPC
• Jillian Meeks Nyquist, D.D.S.,M.S.
• Emily Celia O'Brien, ATR-BC, LPC-MHSP

• Nurse Practitioner in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.