Active NPI
Elizabeth Grant Hatton, PA-C
- Physician Assistant
- Lexington, KY
National Provider Identifier
1841428638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA1203
- Practice address
- 3205 Summit Square PL Ste 100
Lexington, KY 40509-2650 - Phone
- (859) 335-9041
- Fax
- (859) 335-9072
- NPI assigned
- Jun 30, 2009
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA1203 | KY | Primary |
Addresses
Primary practice location
3205 Summit Square PL Ste 100
Lexington, KY 40509-2650
Mailing address
3205 Summit Square PL Ste 100
Lexington, KY 40509-2650
Phone (859) 335-9041
Other names 1
- Elizabeth Grant Mandell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marshall Emergency Services Associates, PLLC | Physician Assistant | Past | Accepting new patients |
| University of Kentucky Hospital | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Lexington, KY
- NPI 1891737185
Physician Assistant
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1154519668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257984000000",
"number": "1841428638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3205 SUMMIT SQUARE PL STE 100",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405092650",
"telephone_number": "859-335-9041",
"fax_number": "859-335-9072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3205 SUMMIT SQUARE PL STE 100",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405092650",
"telephone_number": "859-335-9041",
"fax_number": "859-335-9072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATTON",
"first_name": "ELIZABETH",
"middle_name": "GRANT",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-30",
"last_updated": "2009-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA1203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "MANDELL",
"middle_name": "GRANT",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.