Individual provider Active NPI

Heather Daneen Burleson, PA-C

  • Medical Physician Assistant
  • Hendersonville, TN
National Provider Identifier
1962691287
Registry record updated Sep 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA3600 Issued in TN
Practice address
174 Saundersville Rd Ste 103
Hendersonville, TN 37075-8964
Phone
(615) 600-4811
Fax
(615) 970-7651
NPI assigned
Oct 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Family Medicine) Physician 207QB0002X PA3600 TN
Physician Assistant 363A00000X PA9104308 FL
Medical Physician Assistant 363AM0700X PA3600 TN Primary

Addresses

Primary practice location

174 Saundersville Rd Ste 103
Hendersonville, TN 37075-8964

Mailing address

174 Saundersville Rd Ste 103
Hendersonville, TN 37075-8964
Phone (615) 600-4811

Other practice location 1

2000 Glen Echo Rd Ste 208B
Nashville, TN 37215-2898
Phone (615) 442-8586

Other practice location 2

1639 Medical Center Pkwy Ste 106
Murfreesboro, TN 37129-2259
Phone (615) 728-3406

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA3600TNMDObesity Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charles V Wilson M D P a Past Accepting new patients
University of Miami Past Accepting new patients
Genesis Weight and Age Management Past Accepting new patients
University of Miami Past Accepting new patients
Southern Heart Group Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726876800000",
    "number": "1962691287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 SAUNDERSVILLE RD STE 103",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370758964",
            "telephone_number": "615-600-4811",
            "fax_number": "615-970-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 SAUNDERSVILLE RD STE 103",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370758964",
            "telephone_number": "615-600-4811",
            "fax_number": "615-970-7651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Glen Echo Rd Ste 208B",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372152898",
            "country_code": "US",
            "telephone_number": "615-442-8586",
            "fax_number": "615-442-8587",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1639 Medical Center Pkwy Ste 106",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371292259",
            "country_code": "US",
            "telephone_number": "615-728-3406",
            "fax_number": "615-728-3407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURLESON",
        "first_name": "HEATHER",
        "middle_name": "DANEEN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-23",
        "last_updated": "2024-09-21",
        "certification_date": "2024-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "TN",
            "license": "PA3600",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104308",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "PA3600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2024; 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.