Individual provider Active NPI

Dolores R. Hawthorne, FNP

  • Family Nurse Practitioner
  • Saint Joseph, LA
National Provider Identifier
1295731818
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN082557 AP04477 Issued in LA
Practice address
1115 Levee Rd
Saint Joseph, LA 71366-6639
Phone
(318) 766-1967
Fax
(318) 766-9090
NPI assigned
Jun 28, 2005
Last updated
Nov 10, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN082557 AP04477 LA Primary

Addresses

Primary practice location

1115 Levee Rd
Saint Joseph, LA 71366-6639

Mailing address

PO Box 46
Saint Joseph, LA 71366-0046
Phone (318) 766-1967

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN082557 AP04477LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tensas Community Health Center Inc. Past Accepting new patients
Cypress Grove Behavioral Health LLC Past Accepting new patients
Solutions Medical Consulting, LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHHACD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1295731818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46",
            "city": "SAINT JOSEPH",
            "state": "LA",
            "postal_code": "713660046",
            "telephone_number": "318-766-1967",
            "fax_number": "318-766-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 LEVEE RD",
            "city": "SAINT JOSEPH",
            "state": "LA",
            "postal_code": "713666639",
            "telephone_number": "318-766-1967",
            "fax_number": "318-766-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWTHORNE",
        "first_name": "DOLORES",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-28",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN082557 AP04477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.