Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathryn Wayne O'Heron, FNP-C

Individual provider Registered Nurse · NPI 1154911857

Kathryn Wayne O'Heron, FNP-C is a Nurse Practitioner in Cookeville, Tennessee. Qualified in 2021, 5 years ago. Practices with Innovative Family Care, PLLC, a 5-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
5
Licensed in
TN
In the registry since
2021
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

3300 Williams Enterprise Dr Ste 1
Cookeville, TN 38506
Phone: (931) 528-9222
Fax: (931) 854-0907
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 30328 (TN)
Registered Nurse Taxonomy 163W00000X · Licence 248372 (TN)

Record details

NPI number1154911857
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedJanuary 26, 2021
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Innovative Family Care, Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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