KONNOR JAMES HATHAWAY RN
NPI 1609749282
Registered Nurse in Travis Afb, CA

Active since September 29, 2025
101 BODIN CIR BLDG 777, TRAVIS AFB, CA 94535(707) 423-3117 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Konnor James Hathaway Rn NPPES

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

KONNOR JAMES HATHAWAY RN (NPI 1609749282) is an individual registered nurse in Travis Afb, California, licensed in Oregon (10003980) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1609749282
Entity TypeIndividualMale
Primary Taxonomy163W00000X
Provider Legal NameKONNOR JAMES HATHAWAYCredential: RN
Location Address101 BODIN CIR BLDG 777Travis Afb, CA 94535-1809
Mailing Address101 Bodin Cir Bldg 777Travis Afb, CA 94535-1809 · (707) 423-3117
Sole ProprietorNo
Enumeration DateSeptember 29, 2025
NPPES CertifiedSeptember 29, 2025
NPI 1609749282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
Licenses Licensed in OR · 10003980 Licensed in CA · RN95372929
Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

101 BODIN CIR BLDG 777, Travis Afb, CA 94535

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.

Dentist
101 BODIN CIR BLDG 777, TRAVIS AFB
FAIRFIELD, CA 94535
Pharmacist
101 BODIN CIR BLDG 777
TRAVIS AFB, CA 94535
Social Worker (Clinical)
101 BODIN CIR BLDG 777
FAIRFIELD, CA 94535
Student in an Organized Health Care Education/Training Program
101 BODIN CIR BLDG 777
TRAVIS AFB, CA 94535
Nurse Practitioner
101 BODIN CIR BLDG 777
TRAVIS AFB, CA 94535
Pharmacist
101 BODIN CIR BLDG 777
TRAVIS AFB, CA 94535
Dietitian, Registered
101 BODIN CIR BLDG 777
TRAVIS AFB, CA 94535
Registered Nurse (Lactation Consultant)
101 BODIN CIR BLDG 777
FAIRFIELD, CA 94535

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 Konnor Hathaway's NPI number?

The NPI number for Konnor Hathaway is 1609749282. It was assigned to this individual provider in the NPPES registry on September 29, 2025.

Where is Konnor Hathaway located?

Konnor Hathaway practices at 101 Bodin Cir Bldg 777, Travis Afb, CA 94535. The listed phone number is (707) 423-3117.

What is Konnor Hathaway's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Konnor Hathaway was last updated on September 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.