Individual provider Active NPI

Casen Hipp Connor

  • Registered Nurse
  • Tullahoma, TN
National Provider Identifier
1336057587
Registry record updated Aug 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
260682 Issued in TN
Practice address
104 Garland Crest CT S
Tullahoma, TN 37388-5437
Phone
(931) 581-0562
NPI assigned
Aug 29, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 260682 TN Primary

Addresses

Primary practice location

104 Garland Crest CT S
Tullahoma, TN 37388-5437

Mailing address

104 Garland Crest CT S
Tullahoma, TN 37388-5437
Phone (931) 581-0562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787961600000",
    "number": "1336057587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 GARLAND CREST CT S",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373885437",
            "telephone_number": "931-581-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 GARLAND CREST CT S",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373885437",
            "telephone_number": "931-581-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "CASEN",
        "middle_name": "HIPP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-29",
        "last_updated": "2026-08-29",
        "certification_date": "2026-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "260682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.