Jennifer Hathaway, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN.0993776-NP Issued in CO

Practice address

1175 S Perry St Ste 200
Castle Rock, CO 80104-0015

Phone

(303) 268-1571

NPI assigned

Mar 29, 2018

Last updated

Feb 9, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Healthone Clinic Services - Primary Care LLCGroup PAC ID 7012804446, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Castle Rock Hospital, Castle Rock, CO, CCN 060125

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.hathaway@hca3.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healthone Clinic Services - Primary Care LLC

  • Family Medicine Physician
  • Denver, CO
  • NPI 1518141761
  Medicare reassignment Care Compare group NPD

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

• Portercare Adventist Health System

  dba Adventhealth Castle Rock

  • General Acute Care Hospital
  • Castle Rock, CO
  • NPI 1912249590
  Care Compare affiliation

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1467957555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 FIRST LIGHT DR",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801097903",
            "telephone_number": "970-393-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 S PERRY ST STE 200",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801040015",
            "telephone_number": "303-268-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHAWAY",
        "first_name": "JENNIFER",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0993776-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JENNIFER.HATHAWAY@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1175 S Perry St Ste 200",
            "city": "Castle Rock",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801040015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Renna Yuko Harris
• Kristopher Larkin Hart, DDS
• Sierra Rose Hartfelder
• Carolyn Hoangoanh Harvey, PHARMD
• Michele Denise Harvey, R.D.
• Raymond Joseph Hatzenbeller III, DDS
• Sparrow Hawke
• Larry Travis Haws, DDS
• Christopher Haydek, MD
• Maegan Hayes, SWC, MSSW

• Nurse Practitioner in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.