Active NPI
Heather L Verduzco, A.P.R.N.
- Nurse Practitioner
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 20932
- Practice address
- 145 Innovation Dr
Jackson, TN 38305-3019 - Phone
- (731) 422-0213
- Fax
- (731) 422-0402
- NPI assigned
- Feb 5, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 20932 | TN | Primary |
Addresses
Primary practice location
145 Innovation Dr
Jackson, TN 38305-3019
Mailing address
PO Box 400
Jackson, TN 38302-0400
Phone (731) 425-5752
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, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Garrett Dr
Medina, TN 38355-9641
Phone (731) 422-0355
145 Innovation Dr
Jackson, TN 38305-3019
Phone (731) 422-0213
1893 S Highland Ave
Jackson, TN 38301-7799
Phone (731) 423-5585
22 2ND Ave
Huntingdon, TN 38344-3806
Phone (731) 422-0213
2859 Hwy 45 Byp
Jackson, TN 38305-3618
Phone (731) 664-1375
2863 Hwy 45 Byp
Jackson, TN 38305-3618
Phone (731) 664-1375
3568 Chere Carol Rd
Humboldt, TN 38343-3639
Phone (731) 664-1375
4039 S Highland St
Milan, TN 38358-3483
Phone (731) 686-8995
619 Skyline Dr
Jackson, TN 38301-3903
Phone (731) 422-0213
Hospital & facility affiliations
- Jackson-Madison County General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.15 of 100
- Quality
- 74.15
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 78.84
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20932 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Clinic PA | Current | Accepting new patients | |
| Jackson Clinic PA | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients |
Locations
715 E Main St
Ste A
Henderson, TN 38340
Phone (731) 435-1488
1893 S Highland Ave
Jackson, TN 38301
Phone (731) 423-5585
700 W Forest Ave
Ste 300
Jackson, TN 38301
Phone (731) 422-0330
145 Innovation Dr
Jackson, TN 38305
87 Murray Guard Dr
Ste B
Jackson, TN 38305
Phone (731) 664-1375
Interoperability endpoints
- heatherverduzco@jcpa.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Jackson, TN
- NPI 1285629386
-
- Family Medicine Physician
- Spring Hill, TN
- NPI 1134452865
-
- Rural Health Clinic/Center
- Chapel Hill, TN
- NPI 1316602774
-
- Durable Medical Equipment & Medical Supplies
- Jackson, TN
- NPI 1689443038
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1982062873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 400",
"city": "JACKSON",
"state": "TN",
"postal_code": "383020400",
"telephone_number": "731-425-5752",
"fax_number": "731-425-5783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 INNOVATION DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383053019",
"telephone_number": "731-422-0213",
"fax_number": "731-422-0402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERDUZCO",
"first_name": "HEATHER",
"middle_name": "L",
"credential": "A.P.R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-05",
"last_updated": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "20932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.