DR. KAREN HETZEL PHD APRN BC NPI 1013054998

NPI Information

NPI: 1013054998
Provider Name: DR. KAREN HETZEL, PHD, APRN, BC
Classification: Clinical Nurse Specialist - 364SP0807X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Child & Adolescent

PECOS Registration: Yes

Address:
1342 BELMONT ST
SUITE 101
BROCKTON, MA
ZIP 02301
Phone: (508) 583-1600
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DR. Karen Hetzel, PHD, APRN, BC is a psychiatric/mental health and child and adolescent clinical nurse specialist in Brockton, MA. DR. Karen Hetzel, PHD, APRN, BC NPI is 1013054998. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1342 BELMONT ST
SUITE 101
BROCKTON, MA
ZIP 02301-437
Phone: (508) 583-1600

The NPI 1013054998 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 1/31/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SP0807X	Clinical Nurse Specialist	Psychiatric/Mental Health, Child & Adolescent	144649	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PN0031	OTHER	MASSACHUSETTS	BCBS
2	1028770	OTHER	MASSACHUSETTS	FALLON-BEACON HEALTH STRA
3	NS0783	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
4	005176	OTHER	MASSACHUSETTS	VALUE OPTIONS
5	306175	OTHER	MASSACHUSETTS	MAGELLAN
6	790700	OTHER	MASSACHUSETTS	TUFTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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