Active NPI
Krista E Hoepner, CSW
- Social Worker
- Mauston, WI
National Provider Identifier
1467969808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 9896-120
- Practice address
- 231 E State St
Mauston, WI 53948-1346 - Phone
- (608) 477-9858
- Fax
- (877) 560-0578
- NPI assigned
- Jan 8, 2018
- Last updated
- Jan 8, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 9896-120 | WI | Primary |
Addresses
Primary practice location
231 E State St
Mauston, WI 53948-1346
Mailing address
N9656 County Road M
Camp Douglas, WI 54618-9758
Phone (608) 343-4324
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9896-120 | WI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515369600000",
"number": "1467969808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N9656 COUNTY ROAD M",
"city": "CAMP DOUGLAS",
"state": "WI",
"postal_code": "546189758",
"telephone_number": "608-343-4324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 E STATE ST",
"city": "MAUSTON",
"state": "WI",
"postal_code": "539481346",
"telephone_number": "608-477-9858",
"fax_number": "877-560-0578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOEPNER",
"first_name": "KRISTA",
"middle_name": "E",
"credential": "CSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-08",
"last_updated": "2018-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "9896-120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mauston, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.