Active NPI
Heather Anne Stone, NURSE PRACTITIONER
- Family Nurse Practitioner
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 22630
- Practice address
- 2861 Broad Ave
Memphis, TN 38112-2903 - Phone
- (901) 701-2520
- Fax
- (901) 260-8598
- NPI assigned
- Oct 17, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 22630 | TN | Primary |
| Family Nurse Practitioner | 363LF0000X | 9332632 | FL |
Addresses
Primary practice location
2861 Broad Ave
Memphis, TN 38112-2903
Mailing address
2595 Central Ave
Memphis, TN 38104-5905
Phone (901) 260-8500
Other practice location 1
4230 S Greenwood Ave
Chicago, IL 60653
Phone (773) 268-7600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004212100 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2861 Broad Ave
Memphis, TN 38112-2903
Phone (901) 842-3168
3362 S 3Rd St
Memphis, TN 38109-2944
Phone (901) 271-6300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9332632 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christ Community Health Services Inc | Current | Accepting new patients | |
| Christ Community Health Services Inc | Current | Accepting new patients | |
| American Pharmaceutical Drugs Inc | Past | Accepting new patients | |
| Christ Community Health Services Inc | Past | Accepting new patients | |
| Near North Health Service Corporation | Past | Accepting new patients |
Locations
2861 Broad Ave
Memphis, TN 38112
Phone (901) 260-8500
3362 S 3rd St
Memphis, TN 38109
Phone (901) 271-6300
969 Frayser Blvd
Memphis, TN 38127
Phone (901) 260-8400
2595 Central Ave
Memphis, TN 38104
Phone (901) 260-8500
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.
-
- Federally Qualified Health Center (FQHC)
- Memphis, TN
- NPI 1982686614
-
- Federally Qualified Health Center (FQHC)
- Jackson, TN
- NPI 1871299297
-
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1891837290
-
- Community/Retail Pharmacy
- Chicago, IL
- NPI 1639437924
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1740166255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1972888352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2595 CENTRAL AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381045905",
"telephone_number": "901-260-8500",
"fax_number": "901-260-8598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2861 BROAD AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381122903",
"telephone_number": "901-701-2520",
"fax_number": "901-260-8598"
}
],
"practiceLocations": [
{
"address_1": "4230 S Greenwood Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "60653",
"country_code": "US",
"telephone_number": "773-268-7600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STONE",
"first_name": "HEATHER",
"middle_name": "ANNE",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-17",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "22630",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9332632",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004212100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.