Active NPI
Carolyn a Hebel Psychiatry LLC
- Psychiatric/Mental Health Nurse Practitioner
- Columbia, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- CAROLYN A HEBEL PSYCHIATRY LLC
- Practice address
- 1324 Trotwood Ave Ste 12
Columbia, TN 38401-4750 - Phone
- (931) 797-5273
- NPI assigned
- May 8, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carolyn Hebel, NP
- Title
- NP/Owner
- Phone
- (931) 797-5273
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1324 Trotwood Ave Ste 12
Columbia, TN 38401-4750
Mailing address
105 Cayce Valley Dr
Columbia, TN 38401-5101
Phone (931) 797-5273
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APN0000016271 | Other | TN | STATE OF TN |
| RN0000178655 | Other | TN | STATE OF TN |
Other names 1
- CAROLYN A HEBEL NP
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230727001490 | TN | Part B Supplier - Clinic/Group Practice | 3779944459 |
Receives reassigned benefits from 1 practitioner Practice locations: Columbia, TN |
National Provider Directory
National Provider DirectoryLocations
1324 Trotwood Ave
Ste 12
Columbia, TN 38401
Phone (931) 797-5273
1324 Trotwood Ave
#12
Columbia, TN 38401
Phone (931) 350-0500
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Columbia, TN
- NPI 1740567403
Psychiatric/Mental Health, TN
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683504000000",
"number": "1013606847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 CAYCE VALLEY DR",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384015101",
"telephone_number": "931-797-5273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1324 TROTWOOD AVE STE 12",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384014750",
"telephone_number": "931-797-5273"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLYN A HEBEL PSYCHIATRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-08",
"last_updated": "2023-05-08",
"certification_date": "2023-05-06",
"status": "A",
"authorized_official_last_name": "HEBEL",
"authorized_official_first_name": "CAROLYN",
"authorized_official_title_or_position": "NP/OWNER",
"authorized_official_telephone_number": "931-797-5273",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF TN",
"identifier": "APN0000016271",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF TN",
"identifier": "RN0000178655",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CAROLYN A HEBEL NP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Columbia, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.