Jeremy Hataway, FNP-BC
NPI 1528203155 · Family Nurse Practitioner · Grand Prairie, TX
Jeremy Hataway, FNP-BC is a Family Nurse Practitioner provider in Grand Prairie, TX (NPI 1528203155).
Provider details
- NPI number
- 1528203155
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-BC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5004212 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
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
17 yrs in NPPES 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
- 2008-12-11
- Last updated
- 2021-10-06
- Certified
- 2021-10-06
Frequently asked questions
- What is Jeremy Hataway's NPI number?
- Jeremy Hataway's National Provider Identifier (NPI) is 1528203155, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeremy Hataway's specialty?
- Jeremy Hataway is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jeremy Hataway located?
- Jeremy Hataway's practice location on file with NPPES is 4560 Lake Ridge Pkwy Ste 110, Grand Prairie, TX 75052-1707.
- What is Jeremy Hataway's phone number?
- The practice phone number listed in the NPPES registry for Jeremy Hataway is (972) 522-7778.
- Is Jeremy Hataway's NPI active?
- Yes — Jeremy Hataway's NPI (1528203155) is active in the NPPES registry as of the last update on 2021-10-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.