Individual provider Active NPI

Robin Hawthorne

  • Family Nurse Practitioner
  • Texarkana, TX
National Provider Identifier
1669868691
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R078996 Issued in AR
Practice address
2004 Saint Michael Dr
Texarkana, TX 75503-2597
Phone
(903) 276-5971
NPI assigned
Apr 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R078996 AR Primary

Addresses

Primary practice location

2004 Saint Michael Dr
Texarkana, TX 75503-2597

Mailing address

308 E 37TH St
Texarkana, AR 71854-1925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151104001686 TX Practitioner - Nurse Practitioner 1759691611 Reassigns benefits to 1 organization
I20160526002435 AR Practitioner - Nurse Practitioner 1759691611 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthcare Express, LLPGroup PAC ID 9739131442, 68 clinicians
Bradley Bibb MD PLLCGroup PAC ID 4789715285, 71 clinicians

Practice addresses (Care Compare)

125 Arkansas Blvd
Texarkana, AR 71854-1963
Phone (870) 772-9355

3515 Richmond Rd
Texarkana, TX 75503-0711
Phone (903) 791-9355

3519 Hwy 63
Black Rock, AR 72415-9022
Phone (870) 878-4005

3809 E 9TH St
Texarkana, AR 71854-5818
Phone (870) 621-0080

4701 W 7TH St
Wake Village, TX 75501-6255

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R078996ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley Bibb MD PLLC CurrentSince Apr 1, 2024 Accepting new patients
Healthcare Express, LLP CurrentSince Dec 15, 2015 Accepting new patients
Bradley Bibb MD PLLC Current Accepting new patients
Healthcare Express, LLP CurrentSince Apr 26, 2016 Accepting new patients
Healthcare Express, LLP Current Accepting new patients
Healthcare Express, LLP Current Accepting new patients
Healthcare Express, LLP CurrentSince Dec 15, 2015 Accepting new patients
Bradley Bibb, MD PLLC CurrentSince Apr 1, 2024 Accepting new patients
Healthcare Express, LLP Past Accepting new patients
Bradley Bibb MD PLLC Past Accepting new patients

Locations

23150 Interstate 30 N
Bryant, AR 72022
Phone (501) 888-9047

1021 W Collin Raye Dr
De Queen, AR 71832
Phone (870) 433-0790

1554 Country Club Rd
Sherwood, AR 72120
Phone (501) 500-1012

3809 E 9th St
Ste 15
Texarkana, AR 71854
Phone (870) 621-0080

125 Arkansas Blvd
Texarkana, AR 71854
Phone (870) 772-9355

106 US Highway 59
Atlanta, TX 75551
Phone (903) 769-9355

1509 W Loop 281
Longview, TX 75604
Phone (903) 759-9355

5220 SE Loop 286
Paris, TX 75460
Phone (903) 401-8349

3515 Richmond Rd
Texarkana, TX 75503
Phone (903) 831-7270

4701 W 7th St
Wake Village, TX 75501
Phone (903) 831-4065

Interoperability endpoints

  • Direct secure messaging: robin.hawthorne.1@2424.direct.athenahealth.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428364800000",
    "number": "1669868691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 E 37TH ST",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718541925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 SAINT MICHAEL DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032597",
            "telephone_number": "903-276-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWTHORNE",
        "first_name": "ROBIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-07",
        "last_updated": "2015-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "R078996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.