Individual provider Active NPI

Dylan Hawhee, L.AC.

  • Acupuncturist
  • Santa Rosa, CA
National Provider Identifier
1508411885
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
17560 Issued in CA
Practice address
95 Montgomery Dr Ste 90
Santa Rosa, CA 95404-6617
Phone
(707) 861-0783
NPI assigned
Aug 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 17560 CA Primary

Addresses

Primary practice location

95 Montgomery Dr Ste 90
Santa Rosa, CA 95404-6617

Mailing address

PO Box 1219
Sebastopol, CA 95473-1219
Phone (707) 861-0783

Other names 1

  • Ms. Carrie Leanne Hawhee Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1508411885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1219",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954731219",
            "telephone_number": "707-861-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MONTGOMERY DR STE 90",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954046617",
            "telephone_number": "707-861-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWHEE",
        "first_name": "DYLAN",
        "name_prefix": "Ms.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "17560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "HAWHEE",
            "middle_name": "LEANNE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.