BRANDY HATHAWAY OWNER/CNA NPI 1083511323

NPI Information

  • NPI: 1083511323
  • Provider Name: BRANDY HATHAWAY, OWNER/CNA
  • Classification: Adult Companion - 372600000X
  • Entity Type: Individual
  • Address: 411 SW CHRIS TER
    LAKE CITY, FL
    ZIP 32024
  • Phone: (386) 365-6693

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NPI Details

Brandy Hathaway, OWNER/CNA is an adult companion in Lake City, FL. The provider is an individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. Brandy Hathaway, OWNER/CNA NPI is 1083511323. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

411 SW CHRIS TER
LAKE CITY, FL
ZIP 32024-302
Phone: (386) 365-6693

The enumeration date for this NPI number is 10/21/2026 and was last updated on 10/21/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1372600000XAdult Companion242067FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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