Active NPI
Ethel Marie Hawkins, LVN
- Licensed Vocational Nurse
- Long Beach, CA
National Provider Identifier
1013109677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- VN136932
- Practice address
- 3713 E Arabella St
Long Beach, CA 90805-3915 - Phone
- (562) 786-4994
- Fax
- (562) 630-3588
- NPI assigned
- Aug 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | VN136932 | CA | Primary |
| SNF/Subacute Care Certified Respiratory Therapist | 2278S1500X | VN136932 | CA |
Addresses
Primary practice location
3713 E Arabella St
Long Beach, CA 90805-3915
Mailing address
3713 E Arabella St
Long Beach, CA 90805-3915
Phone (562) 786-4994
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08162007778841 | Other | CA | TRACKING NUMBER |
| 005100 | Other | CA | RVN |
| 164X00000X | Other | CA | TAXONONY |
| EPS-016990 | Other | CA | PROVDER NUMBER |
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 |
|---|---|---|---|
| VN136932 | CA | MD | Licensed Vocational Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 8262Emh | Past | Accepting new patients |
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": "1187222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226361600000",
"number": "1013109677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3713 E ARABELLA ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908053915",
"telephone_number": "562-786-4994",
"fax_number": "562-630-3588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3713 E ARABELLA ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908053915",
"telephone_number": "562-786-4994",
"fax_number": "562-630-3588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "ETHEL",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LVN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-16",
"last_updated": "2008-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "VN136932",
"primary": true
},
{
"code": "2278S1500X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified, SNF/Subacute Care",
"state": "CA",
"license": "VN136932",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRACKING NUMBER",
"identifier": "08162007778841",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RVN",
"identifier": "005100",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXONONY",
"identifier": "164X00000X",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVDER NUMBER",
"identifier": "EPS-016990",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.