CONNIE HAWTHORN, R.N. — NPI 1588028468 (Licensed & Credentialed Registered Nurse, Addiction (Substance Use Disorder) in CLINTON, OH)

CMS-1500 Box 24J / 33a • NPI

1588028468

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

163WA0400X

Licensed & Credentialed Registered Nurse, Addiction (Substance Use Disorder)

Box 32 Service Location & ZIP+4

6694 TAYLOR RD, CLINTON, OH, 44216-9201

✓ 9-Digit EDI 837 ZIP+4 (44216-9201)

Practice Phone & Referral Fax

(330) 825-5202

Fax: (234) 678-6919

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1588028468 (CONNIE HAWTHORN, R.N.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1588028468` (NPI-1 Individual Practitioner)
Provider / Legal Name	CONNIE HAWTHORN, R.N.
Plain-English Specialty	Licensed & Credentialed Registered Nurse, Addiction (Substance Use Disorder) NUCC Code: `163WA0400X` (Registered Nurse, Addiction (Substance Use Disorder))
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	6694 TAYLOR RD, CLINTON, OH, 44216-9201
Practice Telephone / Fax	Tel: (330) 825-5202 \| Fax: (234) 678-6919
Administrative Mailing Address	5245 ERIE AVE NW, CANAL FULTON, OH, 44614-8505
Enumeration & Last Sync	Enumerated: 2016-04-07 \| CMS Record Updated: 2016-04-07

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

6694 TAYLOR RD, CLINTON, OH, 44216-9201

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Plain-English Taxonomy & CMS Crosswalk (163WA0400X)

What Does Taxonomy Code 163WA0400X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WA0400X translates to:
"Licensed & Credentialed Registered Nurse, Addiction (Substance Use Disorder)"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Registered Nurse, Addiction (Substance Use Disorder) for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CONNIE HAWTHORN, R.N.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`163WA0400X` — Registered Nurse, Addiction (Substance Use Disorder) Plain English: Licensed & Credentialed Registered Nurse, Addiction (Substance Use Disorder)	State: OH \| License: `RN255689` \| Primary: Yes (Primary)

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CONNIE HAWTHORN, R.N. (NPI #1588028468)