Active NPI
Jeremy Scott Hatch, RNFA
- Registered Nurse First Assistant
- Anchorage, AK
National Provider Identifier
1851882112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- 119230
- Practice address
- 2801 Debarr Rd
Anchorage, AK 99508-2932 - Phone
- (603) 667-3016
- NPI assigned
- May 22, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | 119230 | AK | Primary |
Addresses
Primary practice location
2801 Debarr Rd
Anchorage, AK 99508-2932
Mailing address
6723 Lunar Dr
Anchorage, AK 99504-4575
Phone (603) 667-3016
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119230 | AK | MD | Registered Nurse First Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alaska Trauma & Acute Care Surgery, LLC | Current | Accepting new patients | |
| Hatch Squared Enterprises LLC | Past | Accepting new patients |
Locations
2801 Debarr Rd
Anchorage, AK 99508
Phone (907) 264-1222
Interoperability endpoints
- jeremyhatch@atacs.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Point of Service
- Anchorage, AK
- NPI 1982266953
-
- Surgery Physician
- Anchorage, AK
- NPI 1982047437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526947200000",
"number": "1851882112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6723 LUNAR DR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995044575",
"telephone_number": "603-667-3016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 DEBARR RD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995082932",
"telephone_number": "603-667-3016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATCH",
"first_name": "JEREMY",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "RNFA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-22",
"last_updated": "2018-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "AK",
"license": "119230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.