Individual provider Active NPI

Clifton Bernard Hawkins, MT(ASCP)

  • Medical Laboratory Technician
  • Olathe, KS
National Provider Identifier
1861838724
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Laboratory TechnicianTaxonomy code 246RM2200X
Practice address
11875 S Sunset Dr Ste 300
Olathe, KS 66061-2794
Phone
(913) 477-8365
Fax
(913) 715-2476
NPI assigned
May 20, 2013
Last updated
May 20, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Laboratory Technician 246RM2200X NU Primary

Addresses

Primary practice location

11875 S Sunset Dr Ste 300
Olathe, KS 66061-2794

Mailing address

11875 S Sunset Dr Ste 300
Olathe, KS 66061-2794
Phone (913) 477-8365

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

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson County Dept of Health and Environment Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1861838724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11875 S SUNSET DR STE 300",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660612794",
            "telephone_number": "913-477-8365",
            "fax_number": "913-715-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11875 S SUNSET DR STE 300",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660612794",
            "telephone_number": "913-477-8365",
            "fax_number": "913-715-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "CLIFTON",
        "middle_name": "BERNARD",
        "credential": "MT(ASCP)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RM2200X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.