Active NPI
Carlette Hawkins, CNA
- Home Health Aide
- McGehee, AR
National Provider Identifier
1043428535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 058758790400E
- Practice address
- 901 S. Third
McGehee, AR 71654 - Phone
- (870) 222-3806
- Fax
- (870) 222-3984
- NPI assigned
- May 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 058758790400E | AR | Primary |
Addresses
Primary practice location
901 S. Third
McGehee, AR 71654
Mailing address
PO Box 351
McGehee, AR 71654-0351
Phone (870) 222-3806
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 |
|---|---|---|---|
| 058758790400E | AR | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043428535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 351",
"city": "MCGEHEE",
"state": "AR",
"postal_code": "716540351",
"telephone_number": "870-222-3806",
"fax_number": "870-222-3984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 S. THIRD",
"city": "MCGEHEE",
"state": "AR",
"postal_code": "71654",
"telephone_number": "870-222-3806",
"fax_number": "870-222-3984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "CARLETTE",
"credential": "CNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "AR",
"license": "058758790400E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McGehee, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.