IndividualActive
Konnor Hathaway, RN
NPI 1609749282 · Registered Nurse · Travis Afb, CA
Konnor Hathaway, RN is a Registered Nurse provider in Travis Afb, CA (NPI 1609749282).
Provider details
- NPI number
- 1609749282
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- License
- RN95372929 (CA)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Profile Score
Established profile(54/100 index)
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
101 Bodin Cir Bldg 777
Travis Afb, CA 94535-1809
Phone: (707) 423-3117
Street-level locationGet directions
Mailing address
101 Bodin Cir Bldg 777
Travis Afb, CA 94535-1809
Registry dates
- Enumerated
- 2025-09-29
- Last updated
- 2025-09-29
- Certified
- 2025-09-29
Frequently asked questions
- What is Konnor Hathaway's NPI number?
- Konnor Hathaway's National Provider Identifier (NPI) is 1609749282, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Konnor Hathaway's specialty?
- Konnor Hathaway is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Konnor Hathaway located?
- Konnor Hathaway's practice location on file with NPPES is 101 Bodin Cir Bldg 777, Travis Afb, CA 94535-1809.
- What is Konnor Hathaway's phone number?
- The practice phone number listed in the NPPES registry for Konnor Hathaway is (707) 423-3117.
- Is Konnor Hathaway's NPI active?
- Yes — Konnor Hathaway's NPI (1609749282) is active in the NPPES registry as of the last update on 2025-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.