Individual provider Active NPI

Joseph Harnett Hatheway, FNP

  • Family Nurse Practitioner
  • Sebastopol, CA
National Provider Identifier
1386296242
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95012031 Issued in CA
Practice address
568 Live Oak Ave Ste H
Sebastopol, CA 95472-3361
Phone
(707) 823-3166
Fax
(707) 869-8170
NPI assigned
Jul 11, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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 95012031 CA Primary

Addresses

Primary practice location

568 Live Oak Ave Ste H
Sebastopol, CA 95472-3361

Mailing address

568 Live Oak Ave
Sebastopol, CA 95472-3361
Phone (207) 475-7162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20201119000554 ME Practitioner - Nurse Practitioner 6305257502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Anchored Women'S Health, LLCGroup PAC ID 0547688699, 5 clinicians

Practice addresses (Care Compare)

710 Bucksport Rd
Ellsworth, ME 04605-2722
Phone (207) 573-0270

Hospital & facility affiliations

  • Northern Light Maine Coast Hospital Hospital, Ellsworth, ME, CCN 200050
  • Mount Desert Island Hospital Hospital, Bar Harbor, ME, CCN 201304
  • Northern Light Blue Hill Memorial Hospital Hospital, Blue Hill, ME, CCN 201300

Merit-based Incentive Payment System (MIPS)

Final score
93.25 of 100Reported as group
Quality
86.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95012031CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anchored Women'S Health, LLC CurrentSince Oct 21, 2024 Accepting new patients

Locations

710 Bucksport Rd
Ellsworth, ME 04605
Phone (207) 573-0270

Interoperability endpoints

  • Direct secure messaging: joseph.hatheway.1@25550.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25550/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1386296242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 LIVE OAK AVE",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954723361",
            "telephone_number": "207-475-7162",
            "fax_number": "707-824-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 LIVE OAK AVE STE H",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954723361",
            "telephone_number": "707-823-3166",
            "fax_number": "707-869-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHEWAY",
        "first_name": "JOSEPH",
        "middle_name": "HARNETT",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastopol, CA

Sources for this page

Verify at the official NPI Registry.