Individual provider Active NPI

Brenda Heffner, NP

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1942530373
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14645 Issued in TN
Practice address
1407 Union Ave Ste 1007
Memphis, TN 38104-3664
Phone
(901) 276-2357
NPI assigned
Jan 7, 2010
Last updated
Apr 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 14645 TN Primary

Addresses

Primary practice location

1407 Union Ave Ste 1007
Memphis, TN 38104-3664

Mailing address

161 Washington Street, 14TH FL
Eight Tower Bridge, Suite 1400
Conshohocken, PA 19428
Phone (484) 351-3206

Other practice location 1

6697 Stage Road
Bartlett, TN 38134-3867
Phone (866) 825-3227

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100215000080 TN Practitioner - Nurse Practitioner 3375687379 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
14645TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Little Clinic of Tennessee LLC Family CurrentSince May 21, 2024 Accepting new patients
Consolidated Medical Practices of Memphis,PLLC CurrentSince May 5, 2014 Accepting new patients
Watson Advanced Care, LLC Past Accepting new patients
Memphis Health Center, Inc. Past Accepting new patients

Locations

3685 S Houston Levee Rd
Collierville, TN 38017
Phone (901) 457-2933

3444 Plaza Ave
Memphis, TN 38111
Phone (901) 324-1013

6799 Great Oaks Rd
Ste 250
Memphis, TN 38138
Phone (901) 261-0700

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

Interoperability endpoints

  • Direct secure messaging: brenda.heffner.1@20250.direct.athenahealth.com
  • Direct secure messaging: brenda.heffner@krogerhealth.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHBDD

Organizations & group practices 5

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": "1262822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1942530373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 WASHINGTON STREET, 14TH FL",
            "address_2": "EIGHT TOWER BRIDGE, SUITE 1400",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "19428",
            "telephone_number": "484-351-3206",
            "fax_number": "484-450-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 UNION AVE STE 1007",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043664",
            "telephone_number": "901-276-2357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6697 Stage Road",
            "address_purpose": "LOCATION",
            "city": "Bartlett",
            "state": "TN",
            "postal_code": "381343867",
            "country_code": "US",
            "telephone_number": "866-825-3227",
            "fax_number": "866-397-7399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEFFNER",
        "first_name": "BRENDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-07",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "14645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.