Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700564507 Individual Practitioner Female Practitioner

Amanda Hatathlie

Technician, Other • Polacca, AZ

Professional Overview & Biography Verified Profile Summary

Amanda Hatathlie is a registered healthcare professional specializing in Technician, Other in Polacca, AZ. Practice services are available at HIGHWAY 264 MILE POST 388 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Highway 264 Mile Post 388

Polacca, AZ 86042

Telephone 9287376000
Associated Practice Facility / Clinic
🏢 Dhhs Ihs Phoenix Area Facility NPI 1356628028

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician, Other in Polacca, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Polacca, AZ (103 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-07-03
Technician, Other Primary Specialty

NUCC Taxonomy Code: 247200000X

State License AZ 2517199

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Carynn Sakeva

Technician

NPI 1003293051
NPI 1013055672

Doctor of Medicine (M.D.)

Lisa Duncan

Internal Medicine

NPI 1033793229
Rochelle Snyder , RN

Registered Nurse

NPI 1043504210

Registered Nurse

Zina Shadfar

Registered Nurse - Medical-Surgical

NPI 1053034017
Veronica Turner , APRN

Nurse Practitioner - Family

NPI 1053639393

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 11, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location July 11, 2023

Registered at HIGHWAY 264 MILE POST 388, POLACCA, AZ 86042 (Tel: 9287376000)

📍
Updated Business Mailing Address July 11, 2023

Registered at PO BOX 801, POLACCA, AZ 860420801 (Tel: 5202136962)

👤
Provider Name / Credentials Updated July 11, 2023

Recorded as AMANDA HATATHLIE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2023

Technician, Other (License #2517199 in AZ)

🟢
Initial NPI Registration & Enumeration July 11, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700564507
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2023
Last Update: July 11, 2023
Sole Proprietor: No

Mailing Address

Po Box 801

Polacca, AZ 860420801

Phone: 5202136962

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.