Suzette Hathcock, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN193592 Issued in AZ

Practice address

2930 W Tanner Ranch Rd
Queen Creek, AZ 85142-4722

Phone

(480) 984-3216

Fax

(480) 380-0105

NPI assigned

Aug 17, 2016

Last updated

Aug 17, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1801341086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 W TANNER RANCH RD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851424722",
            "telephone_number": "480-984-3216",
            "fax_number": "480-380-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 W TANNER RANCH RD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851424722",
            "telephone_number": "480-984-3216",
            "fax_number": "480-380-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHCOCK",
        "first_name": "SUZETTE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN193592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Joseph Harris, D.D.S
• Scott Richard Harris, D.O
• Hart Medical Wellness, PLLC
• Kelly P Harte, FNP-BC
• Monica Sucel Hartle, FNP-C
• Cylinda Joy Haynes, ND
• Jonathan Noah Haynes, D.C.
• Joshua Haynie, EDS
• HDP Affinity Dental LLC (Affinity Dental)
• HDP Wolff Dental LLC

• School Registered Nurse in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• School Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.

Verify at the official NPI Registry.