Individual provider Active NPI

Hannah Elizabeth Shepple, M.S, BCBA, LBA

  • Behavior Analyst
  • Knoxville, TN
National Provider Identifier
1043696370
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA489 Issued in TN
Practice address
9038 Cross Park Dr Ste 105
Knoxville, TN 37923-4720
Phone
(865) 394-6612
Fax
(865) 315-7014
NPI assigned
Aug 10, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0133000437 VA
Behavior Analyst 103K00000X LBA489 TN Primary

Addresses

Primary practice location

9038 Cross Park Dr Ste 105
Knoxville, TN 37923-4720

Mailing address

9038 Cross Park Dr Ste 105
Knoxville, TN 37923-4720
Phone (865) 394-6612

Other identifiers 2

IdentifierTypeStateIssuer
LBA489OtherTNABA
1-11-8544OtherBACB

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
Master of Science

State licenses

LicenseStateTypeSpecialty
LBA489TNMDBehavioral Analyst
0133000437VAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
ABA Interventions, LLC Behavior Analyst PastSince Jul 28, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1043696370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9038 CROSS PARK DR STE 105",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234720",
            "telephone_number": "865-394-6612",
            "fax_number": "865-315-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9038 CROSS PARK DR STE 105",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234720",
            "telephone_number": "865-394-6612",
            "fax_number": "865-315-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPLE",
        "first_name": "HANNAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "M.S, BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133000437",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "LBA489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABA",
            "identifier": "LBA489",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "1-11-8544",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.