Khrystal Marie Dupre, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LSW0000010984 Issued in TN

Practice address

1989 Madison St
Clarksville, TN 37043-5067

Phone

(504) 472-4277

NPI assigned

Aug 21, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1700498656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1989 MADISON ST",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435067",
            "telephone_number": "931-820-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1989 MADISON ST",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435067",
            "telephone_number": "504-472-4277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "719 Heritage Pointe Cir",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370429522",
            "country_code": "US",
            "telephone_number": "504-472-4277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUPRE",
        "first_name": "KHRYSTAL",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-21",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "11694",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "LSW0000010984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kdupree@mindsmattertn.org",
            "affiliation": "N",
            "address_1": "1989 Madison St",
            "city": "Clarksville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370435067",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kdupree@mindsmattertn.org",
            "affiliation": "N",
            "address_1": "1989 Madison St",
            "city": "Clarksville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370435067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dunlop Medical Supplies, LLC
• Dunlop Pharmacy LLC
• Jessica Dunn, MS CCC-SLP
• Theresa Dunn
• Taylor Leis Dunnington
• Benjamin Duran
• Melanie Ann Durham, RRT-SDS
• Robert Eldo Durrett III
• Sierra Michelle Dutton
• Robin Duvall, RN

• Social Worker in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.

Verify at the official NPI Registry.