Vicki Jo Hazlewood

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

28154421A Issued in IN

Practice address

4315 S 950 E
Lafayette, IN 47905-9447

Phone

(765) 296-7905

Fax

(765) 296-7906

NPI assigned

Feb 4, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233705600000",
    "number": "1497994024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 186",
            "city": "STOCKWELL",
            "state": "IN",
            "postal_code": "479830186",
            "telephone_number": "765-296-7905",
            "fax_number": "765-296-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 S 950 E",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479059447",
            "telephone_number": "765-296-7905",
            "fax_number": "765-296-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZLEWOOD",
        "first_name": "VICKI",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-04",
        "last_updated": "2009-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "IN",
            "license": "28154421A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Anne Hawkins, B.A.
• Laura Beth Hawkins, MS, MSN, CNS, NCC
• Molly Brooke Hayworth, PTA
• Tamara Loewen Hazbun, MD
• Lauren Ashley Hazel, OTR/L
• Lori Heald
• Heartland Clinic
• Heartland Clinic, Inc.
• Allison Heaslip, OD
• Jessica Heathcote, RPH

• General Practice Registered Nurse in Lafayette, IN
• Providers in Lafayette, IN by specialty
• General Practice Registered Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.