Active NPI
Hattie's Way
- Case Management Agency
- Midlothian, VA
National Provider Identifier
1104292721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- HATTIE'S WAY
- Practice address
- 12220 Chattanooga PLZ
Midlothian, VA 23112-4865 - Phone
- (804) 277-4606
- Fax
- (800) 583-4953
- NPI assigned
- Aug 18, 2015
- Last updated
- Aug 18, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Tracey Johnson, DIRECTOR
- Title
- Vice President
- Phone
- (804) 277-4606
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | Primary |
Addresses
Primary practice location
12220 Chattanooga PLZ
Midlothian, VA 23112-4865
Mailing address
12220 Chattanooga PLZ
Midlothian, VA 23112-4865
Phone (804) 277-4606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0167642211 | Medicaid | VA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439856000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1439856000000",
"number": "1104292721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12220 CHATTANOOGA PLZ",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231124865",
"telephone_number": "804-277-4606",
"fax_number": "800-583-4953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12220 CHATTANOOGA PLZ",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231124865",
"telephone_number": "804-277-4606",
"fax_number": "800-583-4953"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HATTIE'S WAY",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-18",
"last_updated": "2015-08-18",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "TRACEY",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "804-277-4606",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "DIRECTOR"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0167642211",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.