COURTNEY AVIS HATHAWAY (NPI# 1164874848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164874848 |
| Entity Type | Individual |
| Full Name | COURTNEY AVIS HATHAWAY |
| Credential | LPN |
| Practice Address |
984 Sharon St Apt L New Bedford MA 02745-4745 |
| Practice Telephone | 5083177557 |
| Mailing Telephone | 5083177557 |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2016-07-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LN 93008 | MA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326484130 | Courtney Iverson Hathaway | Family Medicine | 18320 S Center St, Gardner, KS 66030-9157 | 2013-05-20 |
| Street Address |
984 SHARON ST APT L |
| City | NEW BEDFORD |
| State | MA |
| Zip Code | 02745-4745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407318272 | Sandra Thelma Malek | Physical Therapist | 748 Ashley Blvd, New Bedford, MA 02745 | 2019-04-02 |
| 1497290829 | Southcoast Hair Options | Prosthetist | 2082 Acushnet Ave., New Bedford, MA 02745 | 2016-12-20 |
| 1154665792 | Christine M. Homen Msw,licsw | Community/Behavioral Health | 32 Welby Road, Suite 114b, New Bedford, MA 02745 | 2012-11-20 |
| 1679858286 | Brian E Lang | Pharmacist | 1737acushnet Ave, New Bedford, MA 02745 | 2011-10-14 |
| 1063793826 | Internal Medicine and Preventive Care, P.C. | Clinic/Center | 130 Virgo Dr, New Bedford, MA 02745 | 2011-09-07 |
| 1942447289 | Dental Dreams, LLC | Dentist | 1054 Kings Highway, New Bedford, MA 02745 | 2009-01-08 |
| 1437314374 | Mary Lou Marques | Durable Medical Equipment & Medical Supplies | 1980 Acushnet Avenue, New Bedford, MA 02745 | 2008-07-21 |
| 1871751958 | Deborah M Okafor | Occupational Therapist | 27 Maddie Dr, New Bedford, MA 02745 | 2008-05-27 |
| 1114192457 | Lucia Vargas Williams | Social Worker | 1121 Ashley Blvd., New Bedford, MA 02745 | 2008-04-28 |
| 1386825776 | Pine Grove Chiropractic, P.C. | Chiropractor | 934 Ashley Boulevard, New Bedford, MA 02745 | 2007-11-14 |
| Find all providers in zip 02745 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861869828 | Janice Dacosta | Licensed Practical Nurse | 764 Rockdale Ave, New Bedford, MA 02740-1561 | 2015-08-26 |
| 1992108344 | Taurean Gibbons | Licensed Practical Nurse | 543 North St, New Bedford, MA 02740-2782 | 2014-09-30 |
| 1871913210 | Susan Monteiro | Licensed Practical Nurse | 543 North St, New Bedford, MA 02740-2782 | 2014-04-24 |
| 1912258765 | Michael John Rogers | Licensed Practical Nurse | 651 Orchard St, Suite 202a, New Bedford, MA 02744-1008 | 2012-09-19 |
| 1598976771 | Anne Marie Cathcart | Licensed Practical Nurse | 543 North St, New Bedford, MA 02740-2766 | 2007-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556267 | Stephanie Marie Murphy | Licensed Practical Nurse | 35 Admiral Halsey Rd, Plymouth, MA 02360-1815 | 2020-10-22 |
| 1003423336 | Miladys Reyes | Licensed Practical Nurse | 1 General St Fl 4, Lawrence, MA 01841-2961 | 2020-09-30 |
| 1902413073 | Ruchama T Leconte | Licensed Practical Nurse | 898 Read St, Attleboro, MA 02703-6199 | 2020-09-23 |
| 1780299131 | Amanda Marie Holland | Licensed Practical Nurse | 1 Carleton Rd, Plainville, MA 02762-2401 | 2020-09-12 |
| 1689285330 | Kizzy Akeeyaha Guyton | Licensed Practical Nurse | 191 Meadow St, Carver, MA 02330-1524 | 2020-08-14 |
| 1700497096 | Monica Lynn Glasgow | Licensed Practical Nurse | 21 Kenwood St, Greenfield, MA 01301-1973 | 2020-08-11 |
| 1184234841 | Karen Yvonne Harris | Licensed Practical Nurse | 1000 Harvard St Apt 16, Boston, MA 02126-1405 | 2020-08-06 |
| 1316557580 | Teresah Nyaga | Licensed Practical Nurse | 10 Overlook Trl Apt 10211, Peabody, MA 01960-8840 | 2020-08-03 |
| 1073122487 | Evelyn Chacon | Licensed Practical Nurse | 10 Oakland Ave Apt 1, Attleboro, MA 02703-3581 | 2020-07-31 |
| 1225647530 | Lauren Taylor Robbins | Licensed Practical Nurse | 21 Centennial Drive Apt. #3, Norwood, MA 02062 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
| City | NEW BEDFORD |
| Zip Code | 02745 |
Please comment or provide details below to improve the information on COURTNEY AVIS HATHAWAY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.