Tomoko Hattori, CNS

Primary specialty

Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X

License

AP139857 Issued in TX

Practice address

12701 RR 620 N Ste 101
Austin, TX 78750-1141

Phone

(512) 593-6022

Fax

(512) 593-9130

NPI assigned

May 2, 2019

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1164087417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12701 RR 620 N STE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501141",
            "telephone_number": "512-593-6022",
            "fax_number": "512-593-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12701 RR 620 N STE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501141",
            "telephone_number": "512-593-6022",
            "fax_number": "512-593-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATTORI",
        "first_name": "TOMOKO",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "TX",
            "license": "AP139857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "903504",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "AP139857",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason T. Hatfield, MD
• Katharina Hathaway, MD
• Laura Hathway
• Trudy Hatmaker, LMSW
• Timothy Daniel Hatters, OTR/L
• My Lam Hau, OD
• Andrianna Kathryn Hauck, MS, RD, LD
• Madeleine Hauck, MAT, ATC
• Megan Hauer, MD
• Emily Rae Haugen, PT, DPT

• Gerontology Clinical Nurse Specialist in Austin, TX
• Providers in Austin, TX by specialty
• Gerontology Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.