Individual provider Active NPI

Heather Anne Stone, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1972888352
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22630 Issued in TN
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
004212100MedicaidFL

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
I20170928000722 TN Practitioner - Nurse Practitioner 1850567892 Reassigns benefits to 1 organization

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
Christ Community Health Services Inc.Group PAC ID 3870402084, 61 clinicians

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

LicenseStateTypeSpecialty
9332632FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Community Health Services Inc CurrentSince Aug 14, 2017 Accepting new patients
Christ Community Health Services Inc CurrentSince Aug 14, 2017 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.

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

Verify at the official NPI Registry.