Provider Demographics
NPI:1023289428
Name:HAWKINS, JAMIE MICHELLE (MS, CCC/A)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:MICHELLE
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:MS, CCC/A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17450 ST LUKES WAY
Mailing Address - Street 2:STE 150
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77384-2003
Mailing Address - Country:US
Mailing Address - Phone:936-273-4437
Mailing Address - Fax:936-273-3279
Practice Address - Street 1:9301 PINECROFT DR
Practice Address - Street 2:SUITE 150
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77380-3179
Practice Address - Country:US
Practice Address - Phone:281-362-1368
Practice Address - Fax:281-364-8211
Is Sole Proprietor?:No
Enumeration Date:2008-03-13
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51569231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB115555Medicare UPIN
TX8K6748Medicare PIN
TXP00666979Medicare PIN