Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Annette Kathryn Hawthorn

Individual provider Family Nurse Practitioner · NPI 1629517727

Annette Kathryn Hawthorn is a Nurse Practitioner in Centerville, Ohio. Qualified in 2014, 12 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
12
Licensed in
OH
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

2591 Miamisburg Centerville Rd Ste 201
Centerville, OH 45459-3706
Phone: (937) 439-5252
Fax: (937) 439-9242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.020094 (OH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F0516185 (OH)

Record details

NPI number1629517727
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 22, 2017
Last updated in NPPESApril 6, 2022
Certification dateApril 6, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Centerville