Active NPI
Amanda Hathaway, CRNA
- Certified Registered Nurse Anesthetist
- Mount Vernon, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 132407
- Practice address
- 1330 Coshocton Ave
Mount Vernon, OH 43050-1440 - Phone
- (740) 393-9000
- NPI assigned
- Jun 2, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
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.
-
- General Acute Care Hospital
- Mount Vernon, OH
- NPI 1295761963
-
- Medicare Defined Swing Bed Hospital Unit
- Mount Vernon, OH
- NPI 1366154064
-
- Community/Retail Pharmacy
- Mount Vernon, OH
- NPI 1023054046
-
- Durable Medical Equipment & Medical Supplies
- Mount Vernon, OH
- NPI 1205351004
-
- Durable Medical Equipment & Medical Supplies
- Mount Vernon, OH
- NPI 1386003796
-
- Eyewear Supplier
- Mount Vernon, OH
- NPI 1568945855
-
- Community/Retail Pharmacy
- Mount Vernon, OH
- NPI 1619592763
-
- Home Infusion Therapy Pharmacy
- Mount Vernon, OH
- NPI 1861097917
-
- Multi-Specialty Clinic/Center
- Belpre, OH
- NPI 1588422547
-
- Community/Retail Pharmacy
- Mount Vernon, OH
- NPI 1073351557
-
- Anesthesiology Physician
- Mount Vernon, OH
- NPI 1679626287
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Knox Community Hospital
Practice addresses (Care Compare)
1330 Coshocton Ave
Mount Vernon, OH 43050-1495
Phone (740) 393-9000
Hospital & facility affiliations
- Knox Community Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, OH
Medicare enrollment records 2
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210803000026 | WV | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3173927852 | Reassigns benefits to 1 organization |
| I20221025001906 | OH | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3173927852 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 132407 | OH | MD | Certified Registered Nurse Anesthetist |
| 132407 | WV | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Area Medical Center, Inc. | Current | Accepting new patients | |
| Knox Community Hospital | Current | Accepting new patients | |
| Knox Community Hospital | Current | Accepting new patients | |
| Knox Community Hospital | Current | Accepting new patients | |
| Knox Community Hospital | Current | Accepting new patients | |
| Knox Community Hospital | Current | Accepting new patients | |
| Charleston Area Medical Center Inc | Current | Accepting new patients |
Locations
1330 Coshocton Ave
Mount Vernon, OH 43050
Phone (740) 393-9019
3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550
501 Morris St
Charleston, WV 25301
Phone (304) 348-6293
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 132407 | WV | |
| Certified Registered Nurse Anesthetist | 367500000X | 132407 | OH | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1330 Coshocton Ave
Mount Vernon, OH 43050-1440
Mailing address
8660 Gregg Rd
Fredericktown, OH 43019-9277
Phone (304) 657-2120
Other practice location 1
3200 MacCorkle Ave SE
Charleston, WV 25304-1227
Phone (304) 388-5432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 14, 2023.
{
"created_epoch": "1622592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678752000000",
"number": "1487220299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8660 GREGG RD",
"city": "FREDERICKTOWN",
"state": "OH",
"postal_code": "430199277",
"telephone_number": "304-657-2120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 COSHOCTON AVE",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "430501440",
"telephone_number": "740-393-9000"
}
],
"practiceLocations": [
{
"address_1": "3200 MacCorkle Ave SE",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253041227",
"country_code": "US",
"telephone_number": "304-388-5432",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HATHAWAY",
"first_name": "AMANDA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-02",
"last_updated": "2023-03-14",
"certification_date": "2023-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WV",
"license": "132407",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "132407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.