Individual provider Active NPI

Carolyn Ann Hebel, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, TN
National Provider Identifier
1740567403
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
16271 Issued in TN
Practice address
1222 Medical Center Dr
Columbia, TN 38401-6402
Phone
(931) 490-1500
Fax
(931) 490-1502
NPI assigned
Nov 9, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 16271 TN Primary

Addresses

Primary practice location

1222 Medical Center Dr
Columbia, TN 38401-6402

Mailing address

1222 Medical Center Dr
Columbia, TN 38401-6402
Phone (931) 490-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120119000898 TN Practitioner - Nurse Practitioner 6901073642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1324 Trotwood Ave
Suite 12
Columbia, TN 38401-4750
Phone (931) 350-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16271TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolyn a Hebel Psychiatry LLC Psychiatric/Mental Health CurrentSince May 24, 2023 Accepting new patients

Locations

1324 Trotwood Ave
#12
Columbia, TN 38401
Phone (931) 350-0500

1324 Trotwood Ave
Ste 12
Columbia, TN 38401
Phone (931) 797-5273

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1740567403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 MEDICAL CENTER DR",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384016402",
            "telephone_number": "931-490-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 MEDICAL CENTER DR",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384016402",
            "telephone_number": "931-490-1500",
            "fax_number": "931-490-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBEL",
        "first_name": "CAROLYN",
        "middle_name": "ANN",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-09",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "16271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.