MRS. LYDIA VINCENT HATHORN


Address: 7012 Wakefield St, Dallas, TX 75231-7306
Phone: 3146068521

MRS. LYDIA VINCENT HATHORN (NPI# 1437486297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437486297
Entity Type Individual
Full Name MRS. LYDIA VINCENT HATHORN
Credential MSN, RN, WHNP-BC
Practice Address 7012 Wakefield St
Dallas
TX 75231-7306
Practice Telephone 3146068521
Mailing Telephone 3146068521
Enumeration Date 2009-11-14
Last Update Date 2017-04-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
AP131236 TX Physician Assistants & Advanced Practice Nursing Providers
N 363LW0102X Nurse Practitioner
Specialization: Women's Health
420963 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 7012 WAKEFIELD ST
City DALLAS
State TX
Zip Code 75231-7306

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1760964100 Amber Nicole Caruthers Nurse Practitioner 8060 Park Lane, Dallas, TX 75231 2018-09-01
1376024893 Brittany Leigh Stedman Physical Therapist 8130 Meadow Rd, Dallas, TX 75231 2018-08-23
1700367224 Tia Cornelius Occupational Therapy Assistant 8130 Meadow Rd., Dallas, TX 75231 2018-08-23
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457988461 Sarah Elizabeth Higgins Nurse Practitioner 8060 Park Ln, Dallas, TX 75231-5912 2020-03-27
1285284323 Barbara E Mauk Nurse Practitioner 13516 Waterfall Way, Dallas, TX 75240-5831 2019-09-19
1447720941 Rlj Visiting Housecalls LLC Nurse Practitioner 3603 Creek View Dr, Dallas, TX 75233-1709 2018-11-28
1396295051 Melody Lin Nurse Practitioner 7424 Greenville Ave Ste 206, Dallas, TX 75231-4534 2016-10-06
1467766055 Courtney Puff Sherman Nurse Practitioner 2701 Reagan St, Dallas, TX 75219-3403 2010-08-06
1407912009 Annika J. Evans Nurse Practitioner 3600 Gaston Ave Ste 558, Dallas, TX 75246-1905 2006-12-28
1295735637 Paula V. Reid Nurse Practitioner 1936 Amelia Ct, Hiv-aids Clinic, Dallas, TX 75235-7711 2005-07-28
1255331534 Hoa L. Truong Nurse Practitioner 3320 Live Oak St Fl 5, East Dallas Women's Health Center, Dallas, TX 75204-6109 2005-07-28
1598765794 Joanne Lashmet Nurse Practitioner 6303 Harry Hines Blvd Ste 101, Maple Women's Health Center, Dallas, TX 75235-5228 2005-07-28
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Competitor

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City DALLAS
Zip Code 75231

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Dataset Information

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.

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