Active NPI
Heather Daneen Burleson, PA-C
- Medical Physician Assistant
- Hendersonville, TN
National Provider Identifier
1962691287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA3600
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PA3600 | TN | MD | Obesity Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Primary Care Clinic/Center
- Nashville, TN
- NPI 1245671114
-
- Obstetrics & Gynecology Physician
- Fleming Island, FL
- NPI 1629248422
-
- Cardiovascular Disease Physician
- Jacksonville, FL
- NPI 1962484220
-
- Interventional Cardiology Physician
- Miami, FL
- NPI 1376933309
-
- Cardiovascular Disease Physician
- Miami, FL
- NPI 1902859747
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.