Timothy Parker Hawbaker, N.P., L.AC.

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

APN.0992671-NP Issued in CO

Practice address

175 E Main St
Cedaredge, CO 81413-3331

Phone

(970) 856-4729

NPI assigned

Mar 15, 2007

Last updated

Jan 15, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Millennium Regenerative Medicine, Inc.

  • Primary Care Clinic/Center
  • Cedaredge, CO
  • NPI 1316429848
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1093849564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 E MAIN ST",
            "city": "CEDAREDGE",
            "state": "CO",
            "postal_code": "814133331",
            "telephone_number": "970-856-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 E MAIN ST",
            "city": "CEDAREDGE",
            "state": "CO",
            "postal_code": "814133331",
            "telephone_number": "970-856-4729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWBAKER",
        "first_name": "TIMOTHY",
        "middle_name": "PARKER",
        "name_prefix": "Mr.",
        "credential": "N.P., L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "928",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CO",
            "license": "APN.0992671-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Essential Embodiment LLC
• Nicole Gessell, RN
• Alexander Steven Gilmore, D.C.
• Stephanie Hanson, M.A. CCC-SLP
• Christin Dawn Hawbaker, L.AC.
• Magdalena Evelyn Hunsaker, LMT
• Christian T Johnson, D.D.S.
• Kendra Kinney, LCSW
• Kristie M Lavalley, L.AC.
• Candi R. Lobenstein, NP

• Primary Care Nurse Practitioner in Cedaredge, CO
• Providers in Cedaredge, CO by specialty
• Primary Care Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.