Individual provider Active NPI

Delores A Hawk, CRTT

  • Home Health Certified Respiratory Therapist
  • Melbourne, FL
National Provider Identifier
1093975468
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Certified Respiratory TherapistTaxonomy code 2278H0200X
License
TT9873 Issued in FL
Practice address
7025 N Wickham Rd
Suite 112
Melbourne, FL 32940-7534
Phone
(321) 259-3400
NPI assigned
Jun 10, 2008
Last updated
Jun 10, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Certified Respiratory Therapist 2278H0200X TT9873 FL Primary

Addresses

Primary practice location

7025 N Wickham Rd
Suite 112
Melbourne, FL 32940-7534

Mailing address

1444 Agnes Ave SE
Palm Bay, FL 32909-5435
Phone (321) 727-2351

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

LicenseStateTypeSpecialty
TT9873FLMDHome Health Certified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Suntree Medical Equipment LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213056000000",
    "number": "1093975468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 AGNES AVE SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329095435",
            "telephone_number": "321-727-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7025 N WICKHAM RD",
            "address_2": "SUITE 112",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407534",
            "telephone_number": "321-259-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWK",
        "first_name": "DELORES",
        "middle_name": "A",
        "credential": "CRTT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278H0200X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Home Health",
            "state": "FL",
            "license": "TT9873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.