Jennifer Hathaway
NPI 1124600093 · Pediatrics Physician · Burnsville, MN
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jennifer Hathaway is a Pediatrics Physician provider in Burnsville, MN (NPI 1124600093).
Provider details
- NPI number
- 1124600093
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- Yes
- License
- X000-057-306-400 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Student in an Organized Health Care Education/Training Program390200000XLicense X000-057-306-400 (MN)
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 717 Delaware St Se Ste 353Minneapolis, MN 55414-2959Phone: (612) 626-3761
Registry dates
- Enumerated
- 2021-04-21
- Last updated
- 2024-07-19
- Certified
- 2024-07-19
Frequently asked questions
- What is Jennifer Hathaway's NPI number?
- Jennifer Hathaway's National Provider Identifier (NPI) is 1124600093, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Hathaway's specialty?
- Jennifer Hathaway is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Jennifer Hathaway located?
- Jennifer Hathaway's practice location on file with NPPES is 14000 Fairview Dr, Burnsville, MN 55337-5713.
- What is Jennifer Hathaway's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Hathaway is (952) 993-8700.
- Does Jennifer Hathaway accept Medicare?
- Jennifer Hathaway is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jennifer Hathaway's NPI active?
- Yes — Jennifer Hathaway's NPI (1124600093) is active in the NPPES registry as of the last update on 2024-07-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.