MEDICARE: MRS. HEATHER DAWN RUPE DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	D01676	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548252984
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HEATHER DAWN RUPE DO

Provider Business Mailing Address
First Line	:	4323 CAROTHERS PKWY
Second Line	:	STE 208
City	:	FRANKLIN
State	:	TN
Zip	:	37067-5914
Country	:	US
Telephone Number	:	615-778-0010
Fax Number	:	615-778-0715

Provider Business Practice Location Address
First Line	:	4323 CAROTHERS PKWY
Second Line	:	STE 208
City	:	FRANKLIN
State	:	TN
Zip	:	37067-5914
Country	:	US
Telephone Number	:	615-778-0010
Fax Number	:	615-778-0715

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	06/18/2015

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