Individual provider Active NPI

Carmynn Louise Hatch, NP

  • Family Nurse Practitioner
  • Garrett, IN
National Provider Identifier
1912764283
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7106218A Issued in IN
Practice address
1367 S Randolph St
Garrett, IN 46738-1970
Phone
(260) 357-5174
NPI assigned
Mar 4, 2024
Last updated
Jan 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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 7106218A IN Primary

Addresses

Primary practice location

1367 S Randolph St
Garrett, IN 46738-1970

Mailing address

7229 Abington Dr
Fort Wayne, IN 46835-2757
Phone (260) 445-7241

Other practice location 1

411 N Wolf Rd
Columbia City, IN 46725-8733
Phone (260) 248-8141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20250213003636 IN Practitioner - Nurse Practitioner 7012447469

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7106218AINMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1912764283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7229 ABINGTON DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468352757",
            "telephone_number": "260-445-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1367 S RANDOLPH ST",
            "city": "GARRETT",
            "state": "IN",
            "postal_code": "467381970",
            "telephone_number": "260-357-5174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 N Wolf Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia City",
            "state": "IN",
            "postal_code": "467258733",
            "country_code": "US",
            "telephone_number": "260-248-8141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATCH",
        "first_name": "CARMYNN",
        "middle_name": "LOUISE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "7106218A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garrett, IN

Sources for this page

Verify at the official NPI Registry.