Deidre Lynn Hathaway, #171M00000X - CASE M

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2411 MLK Jr Blvd
Eugene, OR 97401

Phone

(541) 682-3550

Fax

(541) 682-9861

NPI assigned

Aug 2, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: deidre.hathaway.p1@direct.lanecounty.nextgenshare.com

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1689198327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 MLK JR BLVD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974015824",
            "telephone_number": "541-682-3550",
            "fax_number": "541-682-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 MLK JR BLVD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97401",
            "telephone_number": "541-682-3550",
            "fax_number": "541-682-9861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "687 Cheshire Ave",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974025060",
            "country_code": "US",
            "telephone_number": "541-684-4100",
            "fax_number": "541-684-4156",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "687 Cheshire Ave",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "97402",
            "country_code": "US",
            "telephone_number": "541-684-4100",
            "fax_number": "541-684-4156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATHAWAY",
        "first_name": "DEIDRE",
        "middle_name": "LYNN",
        "credential": "#171M00000X - CASE M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Hastings
• Jasmine Alyce Hatch
• Robert William Hatch, MS
• Sage Hatch
• Peter L Hatfield, MD
• Roland Hathway, LPC, QMHP
• Nicole Maria-Phyllis Hauck, M.D.
• Megan Patero Haug, LMT
• Julie A Haugen, MD
• Matthew M Haugen, MD

• Case Manager/Care Coordinator in Eugene, OR
• Providers in Eugene, OR by specialty
• Case Manager/Care Coordinator in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.