Nina Hathaway

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703089945 Issued in MI

Practice address

209 E Chippewa St
Mt Pleasant, MI 48858-1609

Phone

(989) 772-1261

NPI assigned

Jan 17, 2014

Last updated

Jan 17, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389916800000",
    "number": "1881016319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 E TOWNLINE LAKE RD",
            "city": "HARRISON",
            "state": "MI",
            "postal_code": "486259240",
            "telephone_number": "989-630-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E CHIPPEWA ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488581609",
            "telephone_number": "989-772-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHAWAY",
        "first_name": "NINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-17",
        "last_updated": "2014-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703089945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael James Hart, L.B.S.W.
• Steven Kelly Hartman, D.C.
• Jorja Ann Hartwell
• Amanda Lynn Harvey
• Sheryl Hasegawa-Arthur, D.O.
• Christopher Joseph Hausbeck, P.T., D.P.T
• Julia Rene Hawley
• Chrystal Shawn Hayes
• Healing Haven Therapy PLLC
• Healing Home Care

• Licensed Practical Nurse in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; 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.