Amanda E Hathaway, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

P1873 Issued in TX

Practice address

1595 Lake Front Cir
The Woodlands, TX 77380-3604

Phone

(281) 292-8980

Fax

(281) 292-8070

NPI assigned

Jan 14, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Pediatrix Medical Group of Texas Billing, Inc.

  • Neonatal-Perinatal Medicine Physician
  • Houston, TX
  • NPI 1649377359

  Pediatrics

  Medicare reassignment NPD
• Hometown Pediatrics, PA

  • Pediatrics Physician
  • The Woodlands, TX
  • NPI 1467539841
  NPD (past)

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

{
    "created_epoch": "1326499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1326319880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 LAKE FRONT CIR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803604",
            "telephone_number": "281-292-8980",
            "fax_number": "281-292-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 LAKE FRONT CIR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803604",
            "telephone_number": "281-292-8980",
            "fax_number": "281-292-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHAWAY",
        "first_name": "AMANDA",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-14",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "P1873",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P1873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda.hathaway@hped.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "1595 Lake Front Cir",
            "city": "The Woodlands",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773803604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mandy Sue Harting, MD
• Braden Edward Hartline, M.D.
• Eugene A Harvie, LCSW
• Sierra Hastings, PT, DPT
• Lisa Marie Hatfield
• Madison Alexandra Hatton, DPT
• James Joseph Hauser, RPH
• Fernanda Havemann, M.A., LPC-INTERN
• Taylar Brooke Hayden, PA-C
• William M Hayes, MD

• Pediatrics Physician in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.