Shannon Hathaway

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119004953 Issued in VA

Practice address

1701 Byrd Ave
Richmond, VA 23230-3011

Phone

(804) 612-1947

NPI assigned

Dec 18, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Faison Center, Inc

  • Behavior Analyst
  • Richmond, VA
  • NPI 1740586106
  NPD (past)

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1386282515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5004 MONUMENT AVE STE 104",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 BYRD AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303011",
            "telephone_number": "804-612-1947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHAWAY",
        "first_name": "SHANNON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119004953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kensington Hatcher, O.D.
• Thomasina Iva Hatcher
• Valerie Vanessa Hatcher, RN
• Bryce Hatfield, MD
• Michael D Hathaway, DPT ATC
• Hannah Hatke
• Heba Hatoum, LCSW
• Wave Hatton, MD
• Kurtis Gregory Hauck
• Sonja A. Haugeto, MD

• Occupational Therapist in Richmond, VA
• Providers in Richmond, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.