Active NPI
Heather Yeargan, NP
- Nurse Practitioner
- Marquette, MI
National Provider Identifier
1962847178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 16777
- Practice address
- 850 W Baraga Ave
Marquette, MI 49855-4550 - Phone
- (906) 449-3000
- NPI assigned
- May 1, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Nurse Practitioner | 363LC0200X | AP136021 | TX | |
| Family Nurse Practitioner | 363LF0000X | APN0000016777 | TN | |
| Family Nurse Practitioner | 363LF0000X | 4704366569 | MI | |
| Nurse Practitioner | 363L00000X | 16777 | TN | Primary |
Addresses
Primary practice location
850 W Baraga Ave
Marquette, MI 49855-4550
Mailing address
975 E 3Rd St
Chattanooga, TN 37403-2147
Phone (423) 778-7475
Other practice location 1
975 E 3rd St
Chattanooga, TN 37403
Phone (423) 778-7475
Other practice location 2
2333 McCallie Ave
Chattanooga, TN 37404-3258
Phone (423) 698-6160
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
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000016777 | TN | MD | Family Nurse Practitioner |
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- heather.shimel@hca1.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648771200000",
"number": "1962847178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "975 E 3RD ST",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374032147",
"telephone_number": "423-778-7475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 W BARAGA AVE",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498554550",
"telephone_number": "906-449-3000"
}
],
"practiceLocations": [
{
"address_1": "975 E 3rd St",
"address_purpose": "LOCATION",
"city": "Chattanooga",
"state": "TN",
"postal_code": "37403",
"country_code": "US",
"telephone_number": "423-778-7475",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2333 McCallie Ave",
"address_purpose": "LOCATION",
"city": "Chattanooga",
"state": "TN",
"postal_code": "374043258",
"country_code": "US",
"telephone_number": "423-698-6160",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YEARGAN",
"first_name": "HEATHER",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-01",
"last_updated": "2022-04-01",
"certification_date": "2022-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LC0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "TX",
"license": "AP136021",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "APN0000016777",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704366569",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "16777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.