Individual provider Active NPI

David Lloyd Hattenbrun IV, FNP/ANP

  • Nurse Practitioner
  • Rhinebeck, NY
National Provider Identifier
1487766036
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F333066 Issued in NY
Practice address
91 Serenity Hill Rd
Rhinebeck, NY 12572-2970
Phone
(845) 266-3481
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F333066 NY Primary

Addresses

Primary practice location

91 Serenity Hill Rd
Rhinebeck, NY 12572-2970

Mailing address

222 Route 299
Highland, NY 12528-2524
Phone (845) 691-3627

Other names 1

  • Mr. David Lloyd Hattenbrun IV Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040327000357 NY Practitioner - Nurse Practitioner 8224920889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F333066NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Firstcare Medical, PC CurrentSince Jun 7, 2017 Accepting new patients

Locations

222 Route 299
Highland, NY 12528
Phone (845) 691-3627

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1487766036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 ROUTE 299",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "125282524",
            "telephone_number": "845-691-3627",
            "fax_number": "845-691-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 SERENITY HILL RD",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125722970",
            "telephone_number": "845-266-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATTENBRUN",
        "first_name": "DAVID",
        "middle_name": "LLOYD",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "FNP/ANP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F333066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "HATTENBRUN",
            "middle_name": "LLOYD",
            "prefix": "MR.",
            "suffix": "IV",
            "credential": "FNP-BC, ANP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Rhinebeck, NY

Sources for this page

Verify at the official NPI Registry.