SUSAN HATHAWAY (NPI# 1093365355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093365355 |
| Entity Type | Individual |
| Full Name | SUSAN HATHAWAY |
| Practice Address |
3783 West 800 South Portland IN 47371 |
| Mailing Address |
P.o. Box 24 Portland IN 47371 |
| Practice Telephone | 2607291153 |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-09-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851385512 | Susan Hathaway | Physician Assistant | 879 Lafayette Rd, Hampton, NH 03842 | 2005-09-08 |
| Street Address |
3783 WEST 800 SOUTH |
| City | PORTLAND |
| State | IN |
| Zip Code | 47371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336643410 | Lisa Marcella Moore | Nurse Practitioner | 500 W. Votaw Street, Portland, IN 47371 | 2018-03-22 |
| 1609186030 | Carolyn Louise Keihn | Nurse Practitioner | 430 W. Votaw St., Portland, IN 47371 | 2010-10-19 |
| 1922125384 | Carla Ann Ford | Social Worker | 1758 W 100s, Jay County Hopsital Behavioral Health, Portland, IN 47371 | 2007-03-23 |
| 1902824956 | Midwest Healthstrategies, Inc | Physical Therapist | 1745 W 100 S, Portland, IN 47371 | 2006-07-18 |
| 1346212875 | Jenni Clear | Chiropractor | 603 N Meridian St, Portland, IN 47371 | 2006-02-07 |
| 1497756043 | Jay County Government | Ambulance | 902 N Creagor Ave, Portland, IN 47371 | 2005-08-04 |
| 1336694736 | Anne Hardesty | Nurse Practitioner | 500 W Votaw St, Portland, IN 47371 | 2016-08-16 |
| 1861574006 | Wal-mart Stores East, Lp | Technician/Technologist | 950 W Votaw St, Portland, IN 47371 | 2006-10-19 |
| 1144296088 | Kent Farnsworth | Emergency Medicine | 500 W Votaw St, Portland, IN 47371 | 2006-02-28 |
| 1982677241 | James P Clear | Chiropractor | 603 N Meridian St, Portland, IN 47371 | 2006-02-08 |
| Find all providers in zip 47371 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578108940 | Amy Groulx | Technician | 5506 Se Mitchell St, Portland, OR 97206 | 2019-11-08 |
| 1336780618 | Joan Lambert | Technician | 2802 Ne 108th Avenue, Portland, OR 97220 | 2019-10-08 |
| 1700437142 | Marta Lynn Christensen Laven | Technician | 1075 Nw Northrup St Unit 2317, Portland, OR 97209-3688 | 2019-09-26 |
| 1265083000 | Sheyla Cox | Technician | 1042 Se 191st Ave, Portland, OR 97233-5925 | 2019-09-24 |
| 1851942940 | Michelle Hayward | Technician | 7805 Se Franklin St, Portland, OR 97206-2340 | 2019-09-20 |
| 1124633359 | Tessa Reinhart | Technician | 2270 Nw Overton St, Portland, OR 97210-2927 | 2020-09-14 |
| 1639793292 | David Allen Bennett | Technician | 2544 Ne Clackamas St, Portland, OR 97232-1727 | 2020-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124633029 | Kaneisha Burrus | Technician | 10853 Mistflower Way, Indianapolis, IN 46235-3563 | 2020-09-09 |
| 1679182976 | Barbara S Link | Technician | 5154 St Rd.60 1, Pekin, IN 47165 | 2020-07-23 |
| 1871117531 | Kierra Shanae Sherron | Technician | 11569 Short Iron Ln, Indianapolis, IN 46235-9101 | 2020-05-28 |
| 1659916260 | Virginia Kay St. John | Technician | 961 Deer Field Court, Greencastle, IN 46135 | 2019-11-07 |
| 1861033755 | Lisa G Sturm | Technician | 7420 Lauren Dr, Evansville, IN 47725-7377 | 2019-10-02 |
| 1184275422 | Lorrajean A Gleva | Technician | 203 Eastgate Circle, Mishawaka, IN 46544 | 2019-09-27 |
| 1538710538 | Janet A Slaughter | Technician | 4022 Tanglewood Drive, Floyds Knobs, IN 47119 | 2019-09-23 |
| 1437709516 | Andrea Wiseman | Technician | 3616 N County Road 850 E, Otwell, IN 47564-8990 | 2019-09-19 |
| 1447800347 | Jennifer Owens | Technician | 1429 Durham Ct, Winona Lake, IN 46590 | 2019-09-13 |
| 1689223620 | Kathy Jane Warren | Technician | 1277 Russell Rd, Chandler, IN 47610-9692 | 2019-09-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.