Individual provider Active NPI

Tina Marie Hawthorne, CNP

  • Family Nurse Practitioner
  • Uniontown, OH
National Provider Identifier
1871778480
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP-09777 Issued in OH
Practice address
1700 Boettler Rd
Ste. 100
Uniontown, OH 44685-7792
Phone
(330) 896-0009
Fax
(330) 896-0032
NPI assigned
Jan 2, 2008
Last updated
Jan 2, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP-09777 OH Primary

Addresses

Primary practice location

1700 Boettler Rd
Ste. 100
Uniontown, OH 44685-7792

Mailing address

1700 Boettler Rd
Ste. 100
Uniontown, OH 44685-7792
Phone (330) 896-0009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080128000020 OH Practitioner - Nurse Practitioner 1355423542 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2600 Tuscarawas St W
Suite 440
Canton, OH 44708-4698
Phone (330) 453-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP-09777OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stark County Pathologists Inc Current Accepting new patients
Aultman North Canton Medical Group CurrentSince Jul 8, 2020 Accepting new patients
Aultman Hospital CurrentSince Jun 25, 2014 Accepting new patients
Aultman Hospital Current Accepting new patients
Aultman Hospital CurrentSince Jun 25, 2014 Accepting new patients
Canton Aultman Emergency Physicians Inc Current Accepting new patients
North Canton Medical Foundation Past Accepting new patients
Radiology Associates of Canton, Inc. Past Accepting new patients

Locations

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1055

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

2600 Tuscarawas St W
Ste 440
Canton, OH 44708
Phone (330) 452-3266

1909 Williamsburg Way NE
Louisville, OH 44641
Phone (234) 252-9181

6046 Whipple Ave NW
North Canton, OH 44720
Phone (330) 433-1200

Interoperability endpoints

  • Direct secure messaging: tina.hawthorne@direct.aultman.org

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199232000000",
    "number": "1871778480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 BOETTLER RD",
            "address_2": "STE. 100",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857792",
            "telephone_number": "330-896-0009",
            "fax_number": "330-896-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 BOETTLER RD",
            "address_2": "STE. 100",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857792",
            "telephone_number": "330-896-0009",
            "fax_number": "330-896-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWTHORNE",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP-09777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, OH

Sources for this page

Verify at the official NPI Registry.