Kelly Sue Hatterman, MT

Primary specialty

Medical Laboratory TechnicianTaxonomy code 246RM2200X

License

213581 Issued in NE

Practice address

4101 Woolworth Ave
Omaha, NE 68105-1850

Phone

(402) 346-8800

NPI assigned

May 3, 2007

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)

Not enrolled

Credentials

Medical Technician

State licenses

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871715508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8016 OAKWOOD ST",
            "city": "RALSTON",
            "state": "NE",
            "postal_code": "681273736",
            "telephone_number": "402-884-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 WOOLWORTH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681051850",
            "telephone_number": "402-346-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATTERMAN",
        "first_name": "KELLY",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "MT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RM2200X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": "NE",
            "license": "213581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shantalla Sutonia Danajya Hatten Johnson
• Chevon Hatten
• Katariona Hatten
• Markeyla Hatten
• Quincy Raymond Hatten Jr.
• Chelsey Haug
• Elizabeth Ann Haug, PHARMD
• Treva D Haugaard, PLMHP
• Arica Hauger, DNP, APRN-NP, FNP-C
• Ashley Lynn Hauger, DDS

• Medical Laboratory Technician in Omaha, NE
• Providers in Omaha, NE by specialty
• Medical Laboratory Technician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.