Monica Hines

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

130 Alfredo Dr Ste a
Clarksville, TN 37042-2750

Phone

(224) 242-3418

NPI assigned

Aug 5, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: bsumnerslusser@hopebridge.com

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1215664586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 STACKER ST",
            "city": "LEWISBURG",
            "state": "KY",
            "postal_code": "422569104",
            "telephone_number": "270-893-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 ALFREDO DR STE A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370422750",
            "telephone_number": "224-242-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "MONICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0013688471",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Bsumnerslusser@hopebridge.com",
            "affiliation": "N",
            "address_1": "130 Alfredo Dr Ste A",
            "city": "Clarksville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370422750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jocelyn Danae Hillyer, BT/RBT
• Syeracerridwen Hindle-McHarris
• Jackie L Hinds, M.D.
• Elena Hines, PHARM.D.
• Lisa N. Hines, ,PT,DPT
• Kiela Lee Hinson, MS
• Kelly F Hitch, M.S., CCC-SLP
• Sara Hitson
• Susan K. Hjalseth, RN
• HM Counseling

• Behavior Technician in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Behavior Technician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.