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JEREMY SCOTT HATAWAY FNP-BC
NPI 1528203155
Nurse Practitioner - Family in Grand Prairie, TX

Active since December 11, 2008
4560 LAKE RIDGE PKWY STE 110, GRAND PRAIRIE, TX 75052(972) 522-7778(972) 522-7779 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jeremy Scott Hataway Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMY SCOTT HATAWAY FNP-BC (NPI 1528203155) is an individual family provider in Grand Prairie, Texas, licensed in Texas (670631) and active in the NPI registry since December 2008.

NPPES Registry Identity

NPI1528203155
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJEREMY SCOTT HATAWAYCredential: FNP-BC
Location Address4560 LAKE RIDGE PKWY STE 110Grand Prairie, TX 75052-1707
Mailing Address4560 Lake Ridge Pkwy Ste 110Grand Prairie, TX 75052-1707 · (972) 522-7778 · Fax (972) 522-7779
Phone(972) 522-7778
Fax(972) 522-7779
Sole ProprietorYes
Enumeration DateDecember 11, 2008
Last NPPES UpdateOctober 6, 2021
NPPES CertifiedOctober 6, 2021
✔ NPI 1528203155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in TX · 670631✔ Licensed in NC · 5004212
4560 LAKE RIDGE PKWY STE 110, Grand Prairie, TX 75052
Open in Google Maps ↗

Other Identifiers 1

Other670631TX · Np License

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RONEL LAYUGAN NP
Nurse Practitioner (Acute Care)
4560 LAKE RIDGE PKWY STE 110
GRAND PRAIRIE, TX 75052
Dallas County (972) 522-7778
MR. CHRISTOPHER WAYNE DAVIS NP-C
Nurse Practitioner (Primary Care)
4560 LAKE RIDGE PKWY STE 110
GRAND PRAIRIE, TX 75052
Dallas County (972) 522-7778
JISA SAJI GEORGE PA-C
Physician Assistant
4560 LAKE RIDGE PKWY STE 110
GRAND PRAIRIE, TX 75052
Dallas County (972) 522-7778
MEDHEALTH
Clinic/Center (Urgent Care)
4560 LAKE RIDGE PKWY STE 110
GRAND PRAIRIE, TX 75052
Dallas County (972) 522-7778
ANNA MARIE SLAYTON FNP
Nurse Practitioner (Family)
4560 LAKE RIDGE PKWY STE 110
GRAND PRAIRIE, TX 75052
Dallas County (972) 522-7778
MRS. COURTNEY D JOHNSON FNP-C
Nurse Practitioner (Family)
4560 LAKE RIDGE PKWY STE 110
GRAND PRAIRIE, TX 75052
Dallas County (972) 522-7778

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 Jeremy Hataway's NPI number?

The NPI number for Jeremy Hataway is 1528203155. It was assigned to this individual provider in the NPPES registry on December 11, 2008.

Where is Jeremy Hataway located?

Jeremy Hataway practices at 4560 Lake Ridge Pkwy Ste 110, Grand Prairie, TX 75052. The listed phone number is (972) 522-7778.

What is Jeremy Hataway's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jeremy Hataway was last updated on October 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.