Individual provider Active NPI

Heather Kilpatrick Stafford, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Fayetteville, TN
National Provider Identifier
1992143994
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
27210 Issued in TN
Practice address
2241 Thornton Taylor Pkwy
Fayetteville, TN 37334-3637
Phone
(931) 433-6456
Fax
(931) 433-8911
NPI assigned
Jun 12, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 27210 TN Primary
Registered Nurse 163W00000X 194385 TN
Family Nurse Practitioner 363LF0000X APN0000027210 TN

Addresses

Primary practice location

2241 Thornton Taylor Pkwy
Fayetteville, TN 37334-3637

Mailing address

2241 Thornton Taylor Pkwy
Fayetteville, TN 37334-3637
Phone (931) 433-6456

Other practice location 1

604 S Wall St
Shelbyville, TN 37160-3797
Phone (931) 684-0522

Other names 1

  • Heather Kilpatrick McAlister Former name

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
I20200330002584 TN Practitioner - Nurse Practitioner 4789013574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centerstone of Tennessee, Inc.Group PAC ID 9739088113, 114 clinicians

Practice addresses (Care Compare)

2241 Thornton Taylor Pkwy
Fayetteville, TN 37334-3637
Phone (888) 291-4357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
194385TNMDRegistered Nurse
APN0000027210TNMDFamily Nurse Practitioner
27210TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centerstone of Tennessee, Inc. CurrentSince Feb 14, 2020 Accepting new patients
Centerstone of Tennessee, Inc. CurrentSince Feb 14, 2020 Accepting new patients

Locations

2241 Thornton Taylor Pkwy
Fayetteville, TN 37334
Phone (931) 433-6456

1921 Ransom Pl
Nashville, TN 37217
Phone (615) 279-6700

604 S Wall St
Shelbyville, TN 37160
Phone (931) 307-3940

Interoperability endpoints

  • Direct secure messaging: heather.mcalister.1@1955.direct.athenahealth.com

Organizations & group practices 6

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": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1992143994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 THORNTON TAYLOR PKWY",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373343637",
            "telephone_number": "931-433-6456",
            "fax_number": "931-433-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 THORNTON TAYLOR PKWY",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373343637",
            "telephone_number": "931-433-6456",
            "fax_number": "931-433-8911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "604 S Wall St",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "TN",
            "postal_code": "371603797",
            "country_code": "US",
            "telephone_number": "931-684-0522",
            "fax_number": "931-684-6238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "HEATHER",
        "middle_name": "KILPATRICK",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "27210",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "194385",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000027210",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "MCALISTER",
            "middle_name": "KILPATRICK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fayetteville, TN

Sources for this page

Verify at the official NPI Registry.