Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Raven Hathaway, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1285519850

Raven Hathaway, FNP-BC is a Nurse Practitioner in Johnson City, New York. Qualified in 2025, 1 year ago. Practices with United Health Services Hospitals, Inc, a 472-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2025
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

30 Harrison St
Johnson City, NY 13790-2161
Phone: (607) 763-0088
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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 357629 (NY)

Record details

NPI number1285519850
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedAugust 11, 2025
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice United Health Services Hospitals, Inc. — 472 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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