ANNETTE KATHRYN HAWTHORN NPI 1629517727

NPI Information

  • NPI: 1629517727
  • Provider Name: ANNETTE KATHRYN HAWTHORN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2591 MIAMISBURG CENTERVILLE RD STE 201
    CENTERVILLE, OH
    ZIP 45459
  • Phone: (937) 439-5252

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NPI Details

Annette Kathryn Hawthorn is a family nurse practitioner in Centerville, OH with 11 years of experience. Annette Kathryn Hawthorn NPI is 1629517727. 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:

2591 MIAMISBURG CENTERVILLE RD STE 201
CENTERVILLE, OH
ZIP 45459-706
Phone: (937) 439-5252
Fax: (937) 439-9242

The NPI 1629517727 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/22/2017 and was last updated on 4/6/2022.

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
1363LF0000XNurse PractitionerFamilyF0516185OHIONo
2363LF0000XNurse PractitionerFamilyAPRN.CNP.020094OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10227532MEDICAIDOHIO

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: 3/30/2025

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