Active NPI
Gabrielle Hathaway, MS, IBCLC, PMH-C
- Specialist
- West Brookfield, MA
National Provider Identifier
1902132137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 108-97905
- Practice address
- 53 Oak Dr
West Brookfield, MA 01585-2807 - Phone
- (508) 237-8786
- NPI assigned
- Oct 22, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 108-97905 | MA | Primary |
Addresses
Primary practice location
53 Oak Dr
West Brookfield, MA 01585-2807
Mailing address
53 Oak Dr
West Brookfield, MA 01585-2807
Phone (508) 237-8786
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108-97905 | MA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554940800000",
"number": "1902132137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 OAK DR",
"city": "WEST BROOKFIELD",
"state": "MA",
"postal_code": "015852807",
"telephone_number": "508-237-8786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 OAK DR",
"city": "WEST BROOKFIELD",
"state": "MA",
"postal_code": "015852807",
"telephone_number": "508-237-8786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATHAWAY",
"first_name": "GABRIELLE",
"credential": "MS, IBCLC, PMH-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-22",
"last_updated": "2019-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MA",
"license": "108-97905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Brookfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.