Registry record
- NPI
- 1528203155
- Profession
- Nurse Practitioner (NP)
- Specialty
- Family Nurse Practitioner (363LF0000X)
- Practice address
- 4560 Lake Ridge Pkwy Ste 110
Grand Prairie, TX 75052 - Phone
- 9725227778
- In the registry since
- December 11, 2008
- Last NPPES update
- October 6, 2021
- Sole proprietor
- Yes
- License
- 670631 (TX)
At this location
5 other providers in our data list 4560 Lake Ridge Pkwy Ste 110, Grand Prairie as a practice address:
- Mr. Christopher Wayne Davis, NP-C
Primary Care Nurse Practitioner · NPI 1326312026
- Jisa Saji George, PA-C
Physician Assistant · NPI 1437981537
- Mrs. Courtney D Johnson, FNP-C
Family Nurse Practitioner · NPI 1831521426
- Ronel Layugan, NP
Acute Care Nurse Practitioner · NPI 1144788480
- Anna Marie Slayton, FNP
Family Nurse Practitioner · NPI 1639742257
In context
The NPI number of Jeremy Hataway is 1528203155. They are a Family Nurse Practitioner in Grand Prairie, Texas.
Jeremy Hataway is one of 73 Family Nurse Practitioners in Grand Prairie and one of 22,499 across Texas in our data.
The NPI has been in the federal registry for 17 years, since December 11, 2008.
Frequently asked questions
What is NPI 1528203155?
NPI 1528203155 is the 10-digit National Provider Identifier assigned to Jeremy Hataway, a Family Nurse Practitioner practicing in Grand Prairie, Texas. The record has been in the NPPES registry since December 11, 2008.
How do I verify this provider?
Cross-check NPI 1528203155 in the official CMS registry at npiregistry.cms.hhs.gov, and confirm license 670631 with the TX licensing board. You can also run the number through our free NPI validator to confirm its checksum.
Is this information current?
This profile reflects the June 2026 NPPES data file. NPPES lists the record's last update as October 6, 2021. We refresh our data each month when CMS publishes a new file.
Data: NPPES public registry, June 2026 file. Not medical advice. Verify independently before care or credentialing decisions. Errors in the source record can be corrected at nppes.cms.hhs.gov; see our corrections page.