Raven Michelle Heatherly (NPI# 1417456203, PAC ID# 9931457231) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1417456203 |
| PAC ID by PECOS | 9931457231 |
| Professional Enrollment ID | I20180802001717 |
| Full Name | Raven Michelle Heatherly |
| Organization Legal Name | ORTHOTENNESSEE, PC |
| Address |
1855 Tanner Way Suite 110 Harriman TN 37748-8331 |
| Phone Number | 8653762775 |
| Gender | F |
| Medical School | LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3476453572 |
| Number of Group Practice Members | 123 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1855 Tanner Way, Suite 110, Harriman, TN 37748-8331 | 8653762775 | ORTHOTENNESSEE, PC |
| 2500 Jacksboro Pike, Suite 6, Jacksboro, TN 37757-2818 | 4233526500 | EASTLAKE MEDICAL, LLC |
| 90 Vermont Ave, Suite 300, Oak Ridge, TN 37830-6478 | 8654812541 | ORTHOTENNESSEE, PC |
| Organization Legal Name | ORTHOTENNESSEE, PC |
| Physicians | 135 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meredith L Mayfield | Physical Therapy | Orthotennessee, PC | 7557 Dannaher Dr, Suite G30, Powell, TN 37849-3560 |
| Konstantinos Marinos Triantafillou | Orthopedic Surgery | Orthotennessee, PC | 1926 Alcoa Hwy, Bldg F, Knoxville, TN 37920-1545 |
| Charles Daniel Benson | Orthopedic Surgery | Orthotennessee, PC | 1855 Tanner Way, Suite 110, Harriman, TN 37748-8331 |
| Sydney Wallace Sherrell | Nurse Practitioner | Orthotennessee, PC | 260 Fort Sanders W Blvd, Knoxville, TN 37922-3355 |
| Eric A Morgan | Orthopedic Surgery | Orthotennessee, PC | 827 E Lamar Alexander Pkwy, Maryville, TN 37804-5001 |
| Herman G Botero | Orthopedic Surgery | Orthotennessee, PC | 1422 Old Weisgarber Rd, Knoxville, TN 37909-1293 |
| James A Engblom | Podiatry | Orthotennessee, PC | 90 Vermont Ave, Oak Ridge, TN 37830-6478 |
| Robert W Hawkins | Nurse Practitioner | Orthotennessee, PC | 7557 Dannaher Dr, Suite G30, Powell, TN 37849-3560 |
| Katherine E Mckinney | Occupational Therapy | Orthotennessee, PC | 7557 Dannaher Dr, Suite G30, Powell, TN 37849-3560 |
| Braxton S Childers | Physician Assistant | Orthotennessee, PC | 1130 Middle Creek Rd, Suite 270, Sevierville, TN 37862-3052 |
| Street Address |
1855 TANNER WAY SUITE 110 |
| City | HARRIMAN |
| State | TN |
| Zip | 37748-8331 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Daniel Benson | Orthopedic Surgery | Orthotennessee, PC | 1855 Tanner Way, Suite 110, Harriman, TN 37748-8331 |
| Rodney Moore Mcmillin | Family Medicine | 1855 Tanner Way, Suite 200, Harriman, TN 37748-8331 | |
| Jared Michael Orick | Nurse Practitioner | Orthotennessee, PC | 1855 Tanner Way, Suite 110, Harriman, TN 37748-8331 |
| Cletus J Mcmahon Jr. | Orthopedic Surgery | Orthotennessee, PC | 1855 Tanner Way, Suite 110, Harriman, TN 37748-8331 |
| Terry M Bingham | General Surgery | Covenant Medical Group Inc | 1855 Tanner Way, Suite 220, Harriman, TN 37748-8331 |
| Jackie L Greene-gunter | Optometry | Eye Center of Oak Ridge PC | 1855 Tanner Way, Suite 120, Harriman, TN 37748-8331 |
| Jonathan B Laymance | Family Medicine | 1855 Tanner Way, Suite 200, Harriman, TN 37748-8302 | |
| Janet Edwards | Qualified Audiologist | East Tennessee Ear, Nose and Throat Specialists, PC | 1855 Tanner Way, Suite 140, Harriman, TN 37748-8331 |
| Paul W Tappan | Optometry | Eye Center of Oak Ridge PC | 1855 Tanner Way, Suite 120, Harriman, TN 37748-8331 |
| Bradley J Luttrell | Ophthalmology | Eye Center of Oak Ridge PC | 1855 Tanner Way, Suite 120, Harriman, TN 37748-8331 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles R Olsen | Nurse Practitioner | Mental Health Centers and Clinics of Tennessee | 221 Devonia St, Harriman, TN 37748-2006 |
| Renu Bhateja | Psychiatry | Mental Health Centers and Clinics of Tennessee | 221 Devonia St, Harriman, TN 37748-2006 |
| Shelly L Bingham | Clinical Social Worker | Mental Health Centers and Clinics of Tennessee | 221 Devonia St, Harriman, TN 37748-2006 |
| Timothy S Ochs | Certified Registered Nurse Anesthetist (crna) | Priority Anesthesia, Pllc | 412 Devonia St, Harriman, TN 37748-2009 |
| Kenneth Zalewski | Certified Registered Nurse Anesthetist (crna) | Priority Anesthesia, Pllc | 412 Devonia St, Harriman, TN 37748-2009 |
| Melissa R Blair | Nurse Practitioner | The Pulmonary and Sleep Consultants | 412 Devonia St, Suite 201, Harriman, TN 37748-2009 |
| Hassan F Nadrous | Pulmonary Disease | The Pulmonary and Sleep Consultants | 412 Devonia St, Suite 201, Harriman, TN 37748-2009 |
| Christiane G Jernigan | Certified Registered Nurse Anesthetist | Priority Anesthesia, Pllc | 412 Devonia St, Harriman, TN 37748-2009 |
| Lanita Gann | Nurse Practitioner | 401 Devonia St, Harriman, TN 37748-2010 | |
| Meredith Shropshire | Nurse Practitioner | Thompson Oncology Group | 431 Devonia St, Harriman, TN 37748-2010 |
| Find all physicians in zip 37748 | |||
| City | HARRIMAN |
| Zip Code | 37748 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HARRIMAN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Raven Michelle Heatherly.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.