Individual provider Active NPI

Lauren Hatherall, DO

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1740867167
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
TBD Issued in TX
Practice address
18618 Tuscany Stone Ste 120
San Antonio, TX 78258-3465
Phone
(210) 201-5677
Fax
(210) 899-1616
NPI assigned
Mar 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TBD TX Primary

Addresses

Primary practice location

18618 Tuscany Stone Ste 120
San Antonio, TX 78258-3465

Mailing address

18618 Tuscany Stone Ste 120
San Antonio, TX 78258-3465
Phone (210) 201-5677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240822004159 TX Practitioner - Family Practice 4587103478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of the Incarnate Word School of Osteo Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kellum Physician Partners PAGroup PAC ID 1850553058, 17 clinicians

Practice addresses (Care Compare)

3701 FM
3009 Suite 101
Schertz, TX 78154-2796
Phone (210) 945-2121

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
TBDTXMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kellum Physician Partners, PA Family Medicine CurrentSince Jul 1, 2024 Accepting new patients

Locations

3701 Roy Richard Dr
Schertz, TX 78154
Phone (210) 359-0051

3701 FM 3009
Ste 101
Schertz, TX 78154
Phone (210) 945-2121

3401 Roy Richard Dr
Schertz, TX 78154
Phone (210) 675-6724

Interoperability endpoints

  • Direct secure messaging: lhatherall828480@direct.sw.org

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": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1740867167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18618 TUSCANY STONE STE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583465",
            "telephone_number": "210-201-5677",
            "fax_number": "210-899-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18618 TUSCANY STONE STE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583465",
            "telephone_number": "210-201-5677",
            "fax_number": "210-899-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHERALL",
        "first_name": "LAUREN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "TBD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.