Stephanie Hawkins, PNP-BC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

234409 Issued in LA

Practice address

2945 Renwick St
Monroe, LA 71201-8146

Phone

(318) 654-8760

Fax

(318) 605-2374

NPI assigned

Dec 3, 2013

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Primary Health Services Center

  dba PHSC DeSiard Street Clinic

  • Federally Qualified Health Center (FQHC)
  • Monroe, LA
  • NPI 1043315286
  Medicare reassignment NPD
• Primary Health Services Center

  dba PHSC S D Hill Clinic

  • Federally Qualified Health Center (FQHC)
  • Monroe, LA
  • NPI 1629173869
  NPD

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1457782260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 CARTER DR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712917240",
            "telephone_number": "903-439-5189",
            "fax_number": "903-438-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 RENWICK ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712018146",
            "telephone_number": "318-654-8760",
            "fax_number": "318-605-2374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1317 N Hillcrest Dr",
            "address_purpose": "LOCATION",
            "city": "Sulphur Springs",
            "state": "TX",
            "postal_code": "754822091",
            "country_code": "US",
            "telephone_number": "903-438-1110",
            "fax_number": "903-438-1107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "STEPHANIE",
        "credential": "PNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-03",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "LA",
            "license": "234409",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP126597",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "752950731",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "347490001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "347490002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyndal Hawkin
• Anitwon Markques Hawkins
• Hunter Judah Hawkins, CIT
• Kimberly Ann Hawkins, RN,MSN,FNP
• Lekedriyona Hawkins
• Delores G Hawthorne, RN
• Evelyn Jones Hawthorne, RN
• Harry Singleton Hawthorne III, MD
• Haley Hayden, PA-C
• Ashley Hayes

• Pediatric Nurse Practitioner in Monroe, LA
• Providers in Monroe, LA by specialty
• Pediatric Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.