Kathy Nelson Hawks

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

AP7981 Issued in AZ

Practice address

11030 N Tatum Blvd Ste 102
Phoenix, AZ 85028-6073

Phone

(602) 494-3037

NPI assigned

Aug 9, 2021

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1841964251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11030 N TATUM BLVD STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286073",
            "telephone_number": "602-494-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11030 N TATUM BLVD STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286073",
            "telephone_number": "602-494-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON HAWKS",
        "first_name": "KATHY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "AP7981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yelena Nektalova, PHARM.D.
• Nel'S Nest Assisted Living , LLC
• Amanda Christine Nellis, PH.D., LPC
• Nelson a. Villamor, M.D. P.C.
• Nelson and Makowsky LTD
• Nelson Life Centers
• Laurie Sue Nelson Wallace, OTR/L
• Aaron M. Nelson, MS, ATC-L, PES
• Alyssa Nelson, PA-C
• Anntanette Nelson, RN

• Acute Care Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Acute Care Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.