Active NPI
Donna S Hathaway, DC
- Chiropractor
- Tulsa, OK
National Provider Identifier
1063500171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2194
- Practice address
- 8501 E 21St Street
Tulsa, OK 74129-1409 - Phone
- (918) 665-1120
- NPI assigned
- Oct 11, 2006
- Last updated
- Mar 28, 2013
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2194 | OK | Primary |
Addresses
Primary practice location
8501 E 21St Street
Tulsa, OK 74129-1409
Mailing address
8501 E 21St Street
Tulsa, OK 74129-1409
Phone (918) 665-1120
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005582332 | Other | OK | AETNA |
| 731343913 | Other | OK | GALLAGHER BASSETT |
| 731343913 | Other | OK | HEALTH CHOICE |
| 731343913 | Other | OK | FIRST HEALTH |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364428800000",
"number": "1063500171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8501 E 21ST STREET",
"city": "TULSA",
"state": "OK",
"postal_code": "741291409",
"telephone_number": "918-665-1120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8501 E 21ST STREET",
"city": "TULSA",
"state": "OK",
"postal_code": "741291409",
"telephone_number": "918-665-1120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATHAWAY",
"first_name": "DONNA",
"middle_name": "S",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2013-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OK",
"license": "2194",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0005582332",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GALLAGHER BASSETT",
"identifier": "731343913",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH CHOICE",
"identifier": "731343913",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "731343913",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.