Organization Active NPI

Hawkins Compassionate Care Clinic LLC

  • Point of Service
  • Troy, MO
National Provider Identifier
1780053470
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
F1007042 Issued in MO
Legal business name
HAWKINS COMPASSIONATE CARE CLINIC LLC
Practice address
107B N Lincoln Dr
Troy, MO 63379-1315
Phone
(636) 775-2479
Fax
(636) 775-2480
NPI assigned
Sep 23, 2015
Last updated
Sep 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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

Authorized official

Name
Mrs. Christy Marie Hawkins, RN/FNP-C
Title
Owner/Provider
Phone
(636) 775-2479

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X F1007042 MO Primary

Addresses

Primary practice location

107B N Lincoln Dr
Troy, MO 63379-1315

Mailing address

107B N Lincoln Dr
Troy, MO 63379-1315
Phone (636) 775-2479

Other names 1

  • HCCC Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1780053470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107B N LINCOLN DR",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633791315",
            "telephone_number": "636-775-2479",
            "fax_number": "636-775-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107B N LINCOLN DR",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633791315",
            "telephone_number": "636-775-2479",
            "fax_number": "636-775-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWKINS COMPASSIONATE CARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "636-775-2479",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN/FNP-C"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MO",
            "license": "F1007042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HCCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Troy, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.