Individual provider Active NPI

Stephanie E Hattaway, ARNP

  • Nurse Practitioner
  • Andalusia, AL
National Provider Identifier
1114433166
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-134807 Issued in AL
Practice address
835 S Three Notch St
Andalusia, AL 36420-5321
Phone
(334) 222-8421
NPI assigned
Dec 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-134807 AL Primary

Addresses

Primary practice location

835 S Three Notch St
Andalusia, AL 36420-5321

Mailing address

835 S Three Notch St
Andalusia, AL 36420-5321
Phone (334) 222-8421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180409001562 FL Practitioner - Nurse Practitioner 4981967783
I20240529000611 AL Practitioner - Nurse Practitioner 4981967783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Three Notch Medical Center, PCGroup PAC ID 2961425251, 5 clinicians

Practice addresses (Care Compare)

835 S Three Notch St
Andalusia, AL 36420-5321
Phone (334) 222-8421

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Andalusia, AL, CCN 017121
  • LHC Homecare of South Alabama Home health agency, Opp, AL, CCN 017134
  • Andalusia Health Hospital, Andalusia, AL, CCN 010036
  • Mizell Memorial Hospital Hospital, Opp, AL, CCN 010007
  • Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-134807ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Three Notch Medical Center, PC CurrentSince Apr 8, 2024 Accepting new patients

Locations

835 S Three Notch St
Andalusia, AL 36420
Phone (205) 222-8421

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 and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1114433166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 S THREE NOTCH ST",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364205321",
            "telephone_number": "334-222-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 S THREE NOTCH ST",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364205321",
            "telephone_number": "334-222-8421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATTAWAY",
        "first_name": "STEPHANIE",
        "middle_name": "E",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-28",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-134807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andalusia, AL

Sources for this page

Verify at the official NPI Registry.