Robert Hawthorne

Primary specialty

DriverTaxonomy code 172A00000X

Practice address

17410 Revere St
Southfield, MI 48076-7724

Phone

(248) 234-0389

NPI assigned

Jul 11, 2021

Sex

Male

Sole proprietor

No

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.

• Greater Health Services LLC

  • Community/Behavioral Health Agency
  • Southfield, MI
  • NPI 1396341350
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 11, 2021.

{
    "created_epoch": "1625961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625961600000",
    "number": "1336711316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17410 REVERE ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480767724",
            "telephone_number": "248-234-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17410 REVERE ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480767724",
            "telephone_number": "248-234-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWTHORNE",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-11",
        "last_updated": "2021-07-11",
        "certification_date": "2021-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Havis Chiropractic PLC
• Krista Hawkins-Gunn, MA, LLMSW, CAAC,ICRC
• Brandy Hawkins
• Catina A Hawkins
• Pennie Marie Hawkins
• Julie A Hayek, PHD, NCTMB,
• Hayek, LLC
• Lauren Hayes-Martin
• Aliyah Hayes
• Allysa Hayes

• All providers in Southfield, MI
• Driver in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2021; 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.