Individual provider Active NPI

Katherine Hevly, APNP

  • Mental Health Counselor
  • Chelan, WA
National Provider Identifier
1205803368
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
AP30007174 Issued in WA
Practice address
503 E Highland Ave
Chelan, WA 98816-8631
Phone
(509) 682-8517
Fax
(509) 682-6131
NPI assigned
Mar 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinical Nurse Specialist 364SR0400X AP30007174 WA
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X AP30007174 WA
Mental Health Counselor 101YM0800X AP30007174 WA Primary

Addresses

Primary practice location

503 E Highland Ave
Chelan, WA 98816-8631

Mailing address

503 E Highland Ave
Chelan, WA 98816-8631
Phone (509) 682-8517

Other identifiers 1

IdentifierTypeStateIssuer
9647181MedicaidWA

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)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1205803368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 E HIGHLAND AVE",
            "city": "CHELAN",
            "state": "WA",
            "postal_code": "988168631",
            "telephone_number": "509-682-8517",
            "fax_number": "509-682-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 E HIGHLAND AVE",
            "city": "CHELAN",
            "state": "WA",
            "postal_code": "988168631",
            "telephone_number": "509-682-8517",
            "fax_number": "509-682-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEVLY",
        "first_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SR0400X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Rehabilitation",
            "state": "WA",
            "license": "AP30007174",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "WA",
            "license": "AP30007174",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "AP30007174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9647181",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelan, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.