Sedonia Aime Hartwick, CADAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

111395

Practice address

2200 Bergquist Ave Ste 101
59 MHS
Lackland AFB, TX 78236-9907

Phone

(210) 292-6022

Fax

(210) 292-7712

NPI assigned

Sep 28, 2009

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254096000000",
    "number": "1144554999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 BERGQUIST AVE STE 101",
            "address_2": "59 MHS",
            "city": "LACKLAND AFB",
            "state": "TX",
            "postal_code": "782369907",
            "telephone_number": "210-292-6022",
            "fax_number": "210-292-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 BERGQUIST AVE STE 101",
            "address_2": "59 MHS",
            "city": "LACKLAND AFB",
            "state": "TX",
            "postal_code": "782369907",
            "telephone_number": "210-292-6022",
            "fax_number": "210-292-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTWICK",
        "first_name": "SEDONIA",
        "middle_name": "AIME",
        "name_prefix": "Ms.",
        "credential": "CADAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-28",
        "last_updated": "2009-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": "111395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erik Lindsey Hager, DDS
• Kathryn Elaine Hall, ARNP
• Raymond Harvey Hancock, D.D.S.
• Kirsten Hardy, LCSW
• Robert Lee Harshaw, APRN
• Phillip Harvey
• Karen Haveman, MSN, CPNP
• Garrett L Heitmann, PHARM.D.
• Elizabeth Ann Heron, PHD
• Joshua Matthew Hethcox, D.D.S.

• Addiction (Substance Use Disorder) Counselor in Lackland AFB, TX
• Providers in Lackland AFB, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; 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.