Healthcare Provider Details

I. General information

NPI: 1871004028
Provider Name (Legal Business Name): TAMATHA YVETTE HAWKINS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/16/2017
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

532 S WASHINGTON ST
BASTROP LA
71220-5033
US

IV. Provider business mailing address

532 S WASHINGTON ST
BASTROP LA
71220-5033
US

V. Phone/Fax

Practice location:
  • Phone: 318-239-2571
  • Fax: 318-232-4129
Mailing address:
  • Phone: 318-239-2571
  • Fax: 318-232-4129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP09628
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP09628
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: