Active NPI
Karen Lynn Hawkins
- Nurse's Aide
- Mayfield HTS, OH
National Provider Identifier
1083179907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 401597261213
- Practice address
- 6316 Maplewood Rd Apt I104
Mayfield HTS, OH 44124-1846 - Phone
- (440) 305-2975
- NPI assigned
- Feb 5, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 401597261213 | OH | Primary |
Addresses
Primary practice location
6316 Maplewood Rd Apt I104
Mayfield HTS, OH 44124-1846
Mailing address
6316 Maplewood Rd Apt I104
Mayfield HTS, OH 44124-1846
Phone (440) 305-2975
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0290511 | Medicaid | OH | |
| 006996001-01 | Other | OH | UNITED HEALTHCARE |
| CS1817000143 | Other | OH | CARESOURCE |
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 |
|---|---|---|---|
| 401597261213 | OH | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549324800000",
"number": "1083179907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6316 MAPLEWOOD RD APT I104",
"city": "MAYFIELD HTS",
"state": "OH",
"postal_code": "441241846",
"telephone_number": "440-305-2975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6316 MAPLEWOOD RD APT I104",
"city": "MAYFIELD HTS",
"state": "OH",
"postal_code": "441241846",
"telephone_number": "440-305-2975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "KAREN",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-05",
"last_updated": "2019-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "OH",
"license": "401597261213",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0290511",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "006996001-01",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "CS1817000143",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mayfield HTS, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.