Individual
MS. BARBARA HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1901 S SHADY ST, MOUNTAIN CITY, TN 37683-2021
(423) 727-1150
(423) 727-1152
Mailing address
365 STOUT DRIVE BOX 70403, JOHNSON CITY, TN 37614-1703
(423) 439-4515
(423) 439-4060
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
92888
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
92888
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1506702
—
TN
01
—
4309010
BCBST
TN
05
—
7000164
—
NC
05
—
77-8563-1
—
VA
01
—
TN0164
TENNCARE-JOHN DEERE
TN
Enumeration date
08/22/2006
Last updated
06/24/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us