Individual provider Active NPI

Jennifer Hawthorne

  • Home Health Clinical Nurse Specialist
  • Greenville, SC
National Provider Identifier
1225644826
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Clinical Nurse SpecialistTaxonomy code 364SH0200X
License
IHCP-1294 Issued in SC
Practice address
1 Chick Springs Rd Ste 218C
Greenville, SC 29609-4969
Phone
(864) 438-4579
NPI assigned
Sep 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SH0200X IHCP-1294 SC Primary

Addresses

Primary practice location

1 Chick Springs Rd Ste 218C
Greenville, SC 29609-4969

Mailing address

1 Chick Springs Rd Ste 218C
Greenville, SC 29609-4969
Phone (864) 438-4579

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Greenville Health Information Exchange (HIE)

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
IHCP-1294SCMDHome Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Joyful Hands Homecare Agency LLC CurrentSince Sep 27, 2020 Accepting new patients

Locations

1 Chick Springs Rd
Ste 218C
Greenville, SC 29609
Phone (864) 438-4579

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.

NPI Registry JSON

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1225644826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHICK SPRINGS RD STE 218C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296094969",
            "telephone_number": "864-438-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHICK SPRINGS RD STE 218C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296094969",
            "telephone_number": "864-438-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWTHORNE",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": "SC",
            "license": "IHCP-1294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Greenville",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Chick Springs Rd Ste 218C",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296094969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.