Mary Katherine Hane

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

621674308 Issued in TN

Practice address

207 W Blackwell St
Tullahoma, TN 37388-3395

Phone

(931) 461-0290

NPI assigned

Sep 29, 2014

Last updated

Sep 29, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Centerstone

  • Mental Illness Community Based Residential Treatment Facility
  • Tullahoma, TN
  • NPI 1508098187

  Community Based Residential Treatment Facility, Mental Illness

  NPD (past)

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1144623620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11331 TULLAHOMA HWY",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373886015",
            "telephone_number": "931-636-8128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W BLACKWELL ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373883395",
            "telephone_number": "931-461-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANE",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "TN",
            "license": "621674308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul M Haidak, MD
• Jennifer Hall
• William Dyrk Halstead, MD
• Jessica Smith Hamm, LPC, MHSP
• Dorothy W Hampton, CMSW
• Elizabeth Anne Hanley
• Kendall Elizabeth Hanson, LMSW
• Shawna Michelle Hardison, OTR/L
• Heather Lin Hargrove
• Robbie M. Harmon, NP

• Mental Illness Community Based Residential Treatment Facility in Tullahoma, TN
• Providers in Tullahoma, TN by specialty
• Mental Illness Community Based Residential Treatment Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.