MRS. SANDRA MARIA DAVIS HATHAWAY (NPI# 1720350614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720350614 |
| Entity Type | Individual |
| Full Name | MRS. SANDRA MARIA DAVIS HATHAWAY |
| Credential | IBCLC |
| Practice Address |
705 E Artesia Blvd Long Beach CA 90805-1439 |
| Mailing Address |
1078 E 72nd St Long Beach CA 90805-1035 |
| Practice Telephone | 5626748500 |
| Mailing Telephone | 5626748500 |
| Mailing Fax Number | 5624227888 |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2012-02-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
11141184 | CA | Nursing Service Providers |
| Street Address |
705 E ARTESIA BLVD |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90805-1439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073154928 | Makando Mutanda | Counselor | 161 West Victoria St., Long Beach, CA 90805 | 2019-10-02 |
| 1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
| 1609345925 | Belmont Rx LLC | Pharmacy | 6583 Atlantic Ave., 1st Floor Ste 109, Long Beach, CA 90805 | 2018-11-15 |
| 1508359605 | Mykayla Rowley | Case Manager/Care Coordinator | 5190 Atlatic Ave, Long Beach, CA 90805 | 2018-06-13 |
| 1942728589 | Marissa Liana Cabral | Social Worker | 5190 Atantic Ave, Long Beach, CA 90805 | 2017-09-04 |
| 1245757673 | Karina Vasquez | Licensed Vocational Nurse | 1325 E Poppy St, Long Beach, CA 90805 | 2017-08-25 |
| 1376060277 | Rebekkah Dawn Williams | Counselor | 100 East Market Street, Long Beach, CA 90805 | 2017-08-23 |
| 1871038919 | Andrea Dabbs | Pharmacist | 3700 E. South St., Lakewood, CA 90805 | 2016-12-28 |
| 1164972360 | Young Men's Christian Association of Greater Long Beach | Health Educator | 4949 Atlantic Ave, Long Beach, CA 90805 | 2016-10-12 |
| 1043662158 | Kristina Eunjeong Chang | Podiatrist | 3700 E South Street, Lakewood, CA 90805 | 2016-07-13 |
| Find all providers in zip 90805 | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912336231 | Christina Rodriguez | Registered Nurse | 3711 Long Beach Blvd Ste 708, Long Beach, CA 90807-3323 | 2013-11-07 |
| 1295094399 | Therese Sue Gass | Registered Nurse | 6234 Parima St, Long Beach, CA 90803-2108 | 2012-05-09 |
| 1518365022 | Leah De Shay | Registered Nurse | 2700 Bellflower Blvd, #112, Long Beach, CA 90815 | 2014-12-15 |
| 1952435661 | Alisia Mejia | Registered Nurse | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071098 | Corinne Breshears | Registered Nurse | 2848 Cantegra Gln, Escondido, CA 92025-7347 | 2020-10-16 |
| 1518571660 | Cherie Amour Mouton | Registered Nurse | 43854 46th St W, Lancaster, CA 93536-2365 | 2020-09-06 |
| 1629688007 | Christine Marie Decker-hughes | Registered Nurse | 11026 Corte Playa Tampico, San Diego, CA 92124-4101 | 2020-07-31 |
| 1659980662 | Jennifer Gathman | Registered Nurse | 16935 W Bernardo Dr Ste 105, San Diego, CA 92127-1657 | 2020-07-26 |
| 1497370654 | Tamera Rennaker | Registered Nurse | 4351 Fairwood Ct, Concord, CA 94521-1346 | 2020-06-13 |
| 1326667353 | Megan Atol | Registered Nurse | 24040 Martingale Way, Tehachapi, CA 93561-8352 | 2020-04-09 |
| 1194352724 | Jennifer W Rousseau | Registered Nurse | 134 Hahn Way, Cotati, CA 94931-5313 | 2020-03-24 |
| 1801428503 | Sara Whitehouse | Registered Nurse | 153 Ramona Way, Oceanside, CA 92057-7377 | 2020-02-10 |
| 1184267601 | Gina Sterchi | Registered Nurse | 327 1/2 Montrose Dr Apt A, Folsom, CA 95630-3381 | 2019-10-28 |
| 1013550219 | Kimberley Chilcote | Registered Nurse | 3901 Lone Tree Way Fl 2, Antioch, CA 94509-6200 | 2019-10-21 |
| Find all providers with the same taxonomy | ||||
| City | LONG BEACH |
| Zip Code | 90805 |
Please comment or provide details below to improve the information on MRS. SANDRA MARIA DAVIS HATHAWAY.
| 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.