Mary Katlyn Heupel, BSW

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1090 Old Florence Rd
Lawrenceburg, TN 38464-8401

Phone

(931) 762-6505

NPI assigned

Jul 7, 2021

Reactivated

Jul 26, 2021

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

Other names 1

• Miss Mary Katlyn Heupel Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1164093514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 COX RD",
            "city": "KILLEN",
            "state": "AL",
            "postal_code": "356455740",
            "telephone_number": "256-275-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 OLD FLORENCE RD",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384648401",
            "telephone_number": "931-762-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEUPEL",
        "first_name": "MARY",
        "middle_name": "KATLYN",
        "name_prefix": "Miss",
        "credential": "BSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "deactivation_date": "2021-07-07",
        "reactivation_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "HEUPEL",
            "middle_name": "KATLYN",
            "prefix": "MISS",
            "credential": "BSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Case Manager/Care Coordinator in Lawrenceburg, TN
• Providers in Lawrenceburg, TN by specialty
• Case Manager/Care Coordinator in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.