Hawthorn Wellness Clinic PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

HAWTHORN WELLNESS CLINIC PLLC

Practice address

565 Cameron Way Ste 103
North Liberty, IA 52317-4868

Phone

(319) 499-5410

NPI assigned

Apr 17, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Allison Marie Donovan, NPNPI 1306486030

Title

Owner/Practioner

Phone

(319) 621-9466

Specialties & licenses 1

Addresses

Other names 1

• Hawthorn Wellness Clinic PLLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allison M Donovan

  • Psychiatric/Mental Health Nurse Practitioner
  • North Liberty, IA
  • NPI 1306486030
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1083469720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 LOCUST DR",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523177801",
            "telephone_number": "319-621-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 CAMERON WAY STE 103",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523174868",
            "telephone_number": "319-499-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWTHORN WELLNESS CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "DONOVAN",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/PRACTIONER",
        "authorized_official_telephone_number": "319-621-9466",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawthorn Wellness Clinic PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kiana Hamilton
• Haden Alin Hammel, DC
• Hanger Prosthetics & Orthotics East Inc
• Hanger Prosthetics & Orthotics East Inc
• Aaron Russell Haubrich, DPM
• Laqueasha Hayes
• Terry L Hayes
• Healthsource of North Liberty, PC
• Heartland Healthcare Psychiatry, LLC
• Evan James Heer, PA-C

• Psychiatric/Mental Health Nurse Practitioner in North Liberty, IA
• Providers in North Liberty, IA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.