Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Raven Michelle Heatherly, NP-C

Individual provider Nurse Practitioner · NPI 1417456203

Raven Michelle Heatherly, NP-C is a Nurse Practitioner in Oak Ridge, Tennessee. Graduated from Lincoln Memorial University Medical Department in 2017, 9 years ago. Practices with Knoxville Hma Physician Management, LLC, a 117-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
9
Trained at
Lincoln Memorial University Medical Department
Licensed in
TN
In the registry since
2018
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

90 Vermont Ave Ste 300
Oak Ridge, TN 37830
Phone: (865) 481-2541
Fax: (865) 483-8151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 23818 (TN)

Record details

NPI number1417456203
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedFebruary 7, 2018
Last updated in NPPESAugust 8, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2017 (9 years in practice)
Group practice Knoxville Hma Physician Management, Llc — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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