Individual provider Active NPI

Temeka Shavonne Hathaway, FNP

  • Family Nurse Practitioner
  • Franklin, VA
National Provider Identifier
1346739141
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024176072 Issued in VA
Practice address
102 Fairview Dr Ste B
Franklin, VA 23851-1206
Phone
(757) 562-2158
Fax
(757) 516-8019
NPI assigned
May 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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 0024176072 VA Primary

Addresses

Primary practice location

102 Fairview Dr Ste B
Franklin, VA 23851-1206

Mailing address

8580 Magellan Pkwy
Richmond, VA 23227-1149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180920003136 VA Practitioner - Nurse Practitioner 2567713191 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SE Virginia Value Based Care LLCGroup PAC ID 6103288170, 160 clinicians
Hcare LLCGroup PAC ID 0941668677, 5 clinicians
M Medical Group, Inc.Group PAC ID 7719278597, 104 clinicians
Mid-Atlantic Post Acute and Long Term Care PLLCGroup PAC ID 0648530782, 142 clinicians

Practice addresses (Care Compare)

Norfolk, VA 23502
Phone (757) 354-2885

1309 Kempsville Rd
Norfolk, VA 23502-2205
Phone (757) 446-5794

1948 Landstown Centre Way
Virginia Beach, VA 23456-1624
Phone (757) 821-7500

6160 Kempsville Cir
Suite 325a
Norfolk, VA 23502-3933
Phone (757) 354-2885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
M Medical Group, Inc. CurrentSince Jan 9, 2024 Accepting new patients
Pai Participant 1 LLC CurrentSince Oct 17, 2025 Accepting new patients
Virginia Internal Medicine Inc CurrentSince Oct 2, 2025 Accepting new patients
SE Virginia Value Based Care, LLC CurrentSince Aug 1, 2023 Accepting new patients
Mid-Atlantic Post Acute & Long Term Care PLLC Family CurrentSince Apr 12, 2021 Accepting new patients
M Medical Group, Inc. CurrentSince Jan 9, 2024 Accepting new patients

Locations

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

23020 Main St
Courtland, VA 23837
Phone (751) 653-0908

1475 Virginia Ave
Harrisonburg, VA 22802
Phone (540) 564-3400

6160 Kempsville Cir
Ste 325A
Norfolk, VA 23502
Phone (757) 354-2885

1309 Kempsville Rd
Norfolk, VA 23502
Phone (757) 446-5794

831 E Ellerslie Ave
South Chesterfield, VA 23834
Phone (718) 298-7345

1948 Landstown Centre Way
Virginia Beach, VA 23456
Phone (751) 821-7500

1004 Independence Blvd
Virginia Beach, VA 23455
Phone (757) 464-4058

1801 Camelot Dr
Virginia Beach, VA 23454
Phone (757) 481-3500

440 N Lynnhaven Rd
Virginia Beach, VA 23452
Phone (757) 231-5049

Organizations & group practices 7

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": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1346739141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8580 MAGELLAN PKWY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232271149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 FAIRVIEW DR STE B",
            "city": "FRANKLIN",
            "state": "VA",
            "postal_code": "238511206",
            "telephone_number": "757-562-2158",
            "fax_number": "757-516-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHAWAY",
        "first_name": "TEMEKA",
        "middle_name": "SHAVONNE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-07",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024176072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, VA

Sources for this page

Verify at the official NPI Registry.