Active NPI
Kathryn Hepp
- Behavior Analyst
- Fairfield, CT
National Provider Identifier
1396192035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 887 Stratfield Rd
Fairfield, CT 06825-1655 - Phone
- (203) 414-2076
- NPI assigned
- May 23, 2016
- Reactivated
- Jun 30, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
887 Stratfield Rd
Fairfield, CT 06825-1655
Mailing address
887 Stratfield Rd
Fairfield, CT 06825-1655
Phone (203) 414-2076
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022507 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625011200000",
"number": "1396192035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "887 STRATFIELD RD",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068251655",
"telephone_number": "203-414-2076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "887 STRATFIELD RD",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068251655",
"telephone_number": "203-414-2076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEPP",
"first_name": "KATHRYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-23",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"deactivation_date": "2021-04-16",
"reactivation_date": "2021-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.