Lydia Ann Hawkinberry, L.P.N.

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN077444 Issued in OH

Practice address

39872 State Route 303
Lagrange, OH 44050-9558

Phone

(440) 355-6465

NPI assigned

Nov 3, 2008

Last updated

Nov 3, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225670400000",
    "number": "1093968133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39872 STATE ROUTE 303",
            "city": "LAGRANGE",
            "state": "OH",
            "postal_code": "440509558",
            "telephone_number": "440-355-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39872 STATE ROUTE 303",
            "city": "LAGRANGE",
            "state": "OH",
            "postal_code": "440509558",
            "telephone_number": "440-355-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINBERRY",
        "first_name": "LYDIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "L.P.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-03",
        "last_updated": "2008-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN077444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Gail Conner
• Gustavo Gomez, M.D.
• Marijane Sue Greene, LPN
• Timothy Michael Hall
• Lula Belle Hamilton
• Heather R Horne
• Danielle Michelle Howard
• Gabrielle Michelle Howard
• Gabriella Jarrouj
• Salma Jarrouj

• Licensed Practical Nurse in Lagrange, OH
• Providers in Lagrange, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.