Active NPI
Stephanie Hatten, PHARM.D.
- Pharmacist
- Shreveport, LA
National Provider Identifier
1730630682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 021659
- Practice address
- 510 Kings Hwy
Shreveport, LA 71104-4444 - Phone
- (318) 424-0896
- NPI assigned
- Oct 16, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 021659 | LA | Primary |
Addresses
Primary practice location
510 Kings Hwy
Shreveport, LA 71104-4444
Mailing address
1301 Coates Bluff Dr Apt 624
Shreveport, LA 71104-2853
Phone (318) 512-0446
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021659 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476576000000",
"number": "1730630682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 COATES BLUFF DR APT 624",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711042853",
"telephone_number": "318-512-0446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 KINGS HWY",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711044444",
"telephone_number": "318-424-0896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATTEN",
"first_name": "STEPHANIE",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-16",
"last_updated": "2016-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "021659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.