Jennifer Christine Hathaway
NPI 1124600093ActiveIndividual· Pediatrics· Burnsville, MN
Pediatrics in Burnsville, Minnesota, licensed in MN, with an NPI issued in April 2021. Enrolled in Medicare as practitioner - pediatric medicine.
Overview
| NPI | 1124600093 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Apr 21, 2021 |
| Last updated in NPPES | Jul 19, 2024 |
| Certified by provider | Jul 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 76819 | MN |
| Student in an Organized Health Care Education/Training Program | 390200000X | X000-057-306-400 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (MN) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Pediatrics providers in Burnsville
- 1780661462
- 1245243138
- 1871502575
- 1255034799
- 1578023990
- 1902880735
- 1386629830
- 1144286220
- 1013368125
- 1649378746
- 1356576938
- 1083698138