Active NPI
Michelle Dianne Tupper, LCSW
- Social Worker
- Highland, AR
National Provider Identifier
1710505995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 10101-C
- Practice address
- 1995 Highway 62 412
Highland, AR 72542-9262 - Phone
- (870) 257-0033
- NPI assigned
- Jul 14, 2020
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 10101-C | AR | Primary |
Addresses
Primary practice location
1995 Highway 62 412
Highland, AR 72542-9262
Mailing address
1627 Highway 62 412
Highland, AR 72542-9540
Phone (870) 856-3275
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 |
|---|---|---|---|
| 10101-C | AR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681689600000",
"number": "1710505995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1627 HIGHWAY 62 412",
"city": "HIGHLAND",
"state": "AR",
"postal_code": "725429540",
"telephone_number": "870-856-3275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1995 HIGHWAY 62 412",
"city": "HIGHLAND",
"state": "AR",
"postal_code": "725429262",
"telephone_number": "870-257-0033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUPPER",
"first_name": "MICHELLE",
"middle_name": "DIANNE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-14",
"last_updated": "2023-04-17",
"certification_date": "2023-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AR",
"license": "10101-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highland, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.