Provider Demographics
NPI:1013968775
Name:HAWKINS, ROBERT W (NP)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:W
Last Name:HAWKINS
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1422 OLD WEISGARBER RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-1293
Mailing Address - Country:US
Mailing Address - Phone:865-558-4400
Mailing Address - Fax:865-558-4471
Practice Address - Street 1:1422 OLD WEISGARBER RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-2674
Practice Address - Country:US
Practice Address - Phone:865-558-4400
Practice Address - Fax:865-558-4471
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2017-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7404363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3907878Medicaid
TNTN01C7OtherJOHN DEERE HEALTHCARE
TN4076460OtherBLUECROSS BLUESHIELD
TNTN01C8OtherJOHN DEERE HEALTHCARE
TNTN01C6OtherJOHN DEERE HEALTHCARE
TN500024235OtherRAILROAD MEDICARE
TNTN01C7OtherJOHN DEERE HEALTHCARE
TNTN01C8OtherJOHN DEERE HEALTHCARE
TN103I501165Medicare PIN