Individual provider Active NPI

Karen A Heupel, M.D.

  • Aerospace Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1033104898
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Aerospace Medicine PhysicianTaxonomy code 2083A0100X
License
G080761 Issued in CA
Practice address
Federal Aviation Administration
Aam-700 BLDG 13
Oklahoma City, OK 73169
Phone
(405) 954-1000
NPI assigned
Sep 16, 2005
Last updated
Feb 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Aerospace Medicine Physician 2083A0100X G080761 CA Primary

Addresses

Primary practice location

Federal Aviation Administration
Aam-700 BLDG 13
Oklahoma City, OK 73169

Mailing address

6400 Rambridge Dr
Oklahoma City, OK 73162-1728
Phone (334) 224-0349

Other practice location 1

300 Twining St
Maxwell AFB, AL 36112
Phone (334) 953-5143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G080761CAMDAerospace Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1033104898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 RAMBRIDGE DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731621728",
            "telephone_number": "334-224-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FEDERAL AVIATION ADMINISTRATION",
            "address_2": "AAM-700 BLDG 13",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73169",
            "telephone_number": "405-954-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Twining St",
            "address_purpose": "LOCATION",
            "city": "MAXWELL AFB",
            "state": "AL",
            "postal_code": "36112",
            "country_code": "US",
            "telephone_number": "334-953-5143",
            "fax_number": "334-953-8296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEUPEL",
        "first_name": "KAREN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-16",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "CA",
            "license": "G080761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.