HEIDI R. NUSSBAUMER-STORY (NPI# 1922044056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922044056 |
| Entity Type | Individual |
| Full Name | HEIDI R. NUSSBAUMER-STORY |
| Credential | N.P. |
| Practice Address |
647 Dunlop Ln Suite 100 Clarksville TN 37040-5165 |
| Mailing Address |
3024 Business Park Cir Goodlettsville TN 37072-3132 |
| Practice Telephone | 9315518991 |
| Practice Fax Number | 9315514053 |
| Mailing Telephone | 6158516033 |
| Mailing Fax Number | 6158512018 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2017-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 127389 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS | 6046859 | 01 |
| TN | Q015246 | 05 |
| Street Address |
647 DUNLOP LN SUITE 100 |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040-5165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942291372 | Theodore F Ritzer | Internal Medicine | 647 Dunlop Ln, Ste 101, Clarksville, TN 37040-5165 | 2005-11-03 |
| 1780199554 | Barbara Oland | Nurse Practitioner | 647 Dunlop Ln, Clarksville, TN 37040-5165 | 2017-12-02 |
| 1275846263 | Blanchfield Army Community Hospital | Clinic/Center | 647 Dunlop Ln, Gateway Medical Center Medical Office Bldg One, Clarksville, TN 37040-5165 | 2010-07-19 |
| 1407083306 | Pain Management of Middle Tennessee Pllc | Pain Medicine | 647 Dunlop Ln, Ste 305 Pmb 31, Clarksville, TN 37040-5165 | 2009-06-17 |
| 1932335551 | Gateway Foot and Ankle Center, Plc | Podiatrist | 647 Dunlop Ln, Suite 209, Clarksville, TN 37040-5165 | 2009-06-10 |
| 1073748026 | Sarah Eisen Ellis | Anesthesiology | 647 Dunlop Ln, Suite 305, Clarksville, TN 37040-5165 | 2009-05-20 |
| 1437397007 | Matthew David Truscello | Podiatrist | 647 Dunlop Ln, 209, Clarksville, TN 37040-5165 | 2009-02-04 |
| 1538332010 | David E Smith | Podiatrist | 647 Dunlop Ln, Suite 209, Clarksville, TN 37040-5165 | 2008-04-07 |
| 1346301512 | Pamela Lynn Beasley | Nurse Practitioner | 647 Dunlop Ln, Suite 100 Medical Office Building One, Clarksville, TN 37040-5165 | 2006-12-12 |
| 1295742120 | Craig A Ennis | Internal Medicine | 647 Dunlop Ln, 210, Clarksville, TN 37040-5165 | 2006-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
| 1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
| 1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
| 1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
| Find all providers in zip 37040 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265078224 | Mh Health Care Services, PC | Nurse Practitioner | 4583 Guthrie Hwy, Clarksville, TN 37040-5422 | 2019-11-25 |
| 1255819926 | Amanda Lynn Blassl | Nurse Practitioner | 2485 Tiny Town Rd, Clarksville, TN 37042-7219 | 2018-08-03 |
| 1831693399 | Jamie Charlene Smock | Nurse Practitioner | 2945 Lily Way, Clarksville, TN 37043-5959 | 2018-03-20 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1568997344 | Louisa Jones | Nurse Practitioner | 751 Chesapeake Ln Ste 101, Clarksville, TN 37040-5263 | 2017-04-28 |
| 1619304318 | Regina G Goldwire | Nurse Practitioner | 351 Dover Road, North Clarksville Medical Center, Clarksville, TN 37042 | 2013-09-26 |
| 1194048413 | Sherry D. Miller | Nurse Practitioner | 776 Weatherly Dr Ste B, Clarksville, TN 37043-8941 | 2010-03-02 |
| 1932394087 | Amy Bedan Poff | Nurse Practitioner | 2051 Clevidence Blvd Ste B, Clarksville, IN 47129 | 2007-09-12 |
| 1093880205 | Elizabeth Mcgraw | Nurse Practitioner | 621 Gracey Ave, Clarksville, TN 37040-4012 | 2006-11-22 |
| 1780631945 | Lori A Middleton | Nurse Practitioner | 1820 Haynes St, Clarksville, TN 37043-4547 | 2006-05-31 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37040 |
Please comment or provide details below to improve the information on HEIDI R. NUSSBAUMER-STORY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.