Organization Active NPI

Kathlyn Heckart LLC

  • Community/Behavioral Health Agency
  • Newport, RI
National Provider Identifier
1003323221
Registry record updated Jan 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
ISW02100 Issued in RI
Legal business name
KATHLYN HECKART LLC
Practice address
38 Bellevue Ave Ste J
Newport, RI 02840-3260
Phone
(401) 324-9194
NPI assigned
Jan 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2018

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

Authorized official

Name
Ms. Kathlyn Heckart, LICSWNPI 1740304559
Title
Owner
Phone
(401) 324-9194

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X ISW02100 RI Primary

Addresses

Primary practice location

38 Bellevue Ave Ste J
Newport, RI 02840-3260

Mailing address

PO Box 591
Newport, RI 02840-0500
Phone (401) 324-9194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180212000746 RI Part B Supplier - Clinic/Group Practice 7416217534 Receives reassigned benefits from 1 practitioner
Practice locations: Newport, RI

National Provider Directory

National Provider Directory

Locations

38 Bellevue Ave
Ste J
Newport, RI 02840
Phone (401) 324-9194

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515456000000",
    "number": "1003323221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 591",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028400500",
            "telephone_number": "401-324-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 BELLEVUE AVE STE J",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028403260",
            "telephone_number": "401-324-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLYN HECKART LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-01-09",
        "status": "A",
        "authorized_official_last_name": "HECKART",
        "authorized_official_first_name": "KATHLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-324-9194",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "RI",
            "license": "ISW02100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.