Raven Hathaway, FNP-BC
NPI 1285519850 · Family Nurse Practitioner · Johnson City, NY
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Raven Hathaway, FNP-BC is a Family Nurse Practitioner provider in Johnson City, NY (NPI 1285519850).
Provider details
- NPI number
- 1285519850
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 357629 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2025-08-11
- Last updated
- 2025-08-11
- Certified
- 2025-08-11
Frequently asked questions
- What is Raven Hathaway's NPI number?
- Raven Hathaway's National Provider Identifier (NPI) is 1285519850, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Raven Hathaway's specialty?
- Raven Hathaway is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Raven Hathaway located?
- Raven Hathaway's practice location on file with NPPES is 30 Harrison St, Johnson City, NY 13790-2161.
- What is Raven Hathaway's phone number?
- The practice phone number listed in the NPPES registry for Raven Hathaway is (607) 763-0088.
- Does Raven Hathaway accept Medicare?
- Raven Hathaway is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Raven Hathaway's NPI active?
- Yes — Raven Hathaway's NPI (1285519850) is active in the NPPES registry as of the last update on 2025-08-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.