Individual provider Active NPI

Beverly A. Hatcher, RNFA

  • Surgical Physician Assistant
  • Bowling Green, KY
National Provider Identifier
1629275011
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
1051150 Issued in KY
Practice address
1725 Ashley Cir Ste 211
Bowling Green, KY 42104-5820
Phone
(270) 782-0434
Fax
(270) 782-0564
NPI assigned
Jun 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 1051150 KY Primary

Addresses

Primary practice location

1725 Ashley Cir Ste 211
Bowling Green, KY 42104-5820

Mailing address

1945 Scottsville Rd Ste B2 PMB 137
Bowling Green, KY 42104-5836
Phone (270) 782-0434

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

State licenses

LicenseStateTypeSpecialty
1051150KYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Surgical Services, LLC Surgical Past Accepting new patients

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": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629275011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 SCOTTSVILLE RD STE B2 PMB 137",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421045836",
            "telephone_number": "270-782-0434",
            "fax_number": "270-782-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 ASHLEY CIR STE 211",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421045820",
            "telephone_number": "270-782-0434",
            "fax_number": "270-782-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATCHER",
        "first_name": "BEVERLY",
        "middle_name": "A.",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KY",
            "license": "1051150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.