JIMENA TATIANA HATHAWAY MD, MPH
NPI 1053182691
Student in an Organized Health Care Education/Training Program in Boston, MA
About Jimena Tatiana Hathaway Md, Mph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JIMENA TATIANA HATHAWAY MD, MPH (NPI 1053182691) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jimena Tatiana Hathaway Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOSTON, MA 02114
BOSTON, MA 02114
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jimena Hathaway's NPI number?
The NPI number for Jimena Hathaway is 1053182691. It was assigned to this individual provider in the NPPES registry on January 11, 2024.
Where is Jimena Hathaway located?
Jimena Hathaway practices at 243 Charles St, Boston, MA 02114. The listed phone number is (617) 523-7900.
What is Jimena Hathaway's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jimena Hathaway enrolled in Medicare?
Yes. Jimena Hathaway is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jimena Hathaway was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jimena Tatiana Hathaway, MD, MPH · NPI 1053182691
Student in an Organized Health Care Education/Training Program provider in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since January 11, 2024.
## Identity
- **NPI:** 1053182691 (Entity type: Individual)
- **Enumerated:** January 11, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 243 CHARLES ST, Boston, MA 02114-3002
- **Phone:** (617) 523-7900
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 27, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1053182691) · Data from the CMS NPPES public registry.