Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Richard B Hathaway, PAC
Physician Assistant in Blaine, MN · enumerated 2005.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1710961966
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Registry record
Entity type Individual (Type 1)
Name Richard B Hathaway
Credential PAC
Sex Male
Practice address 12175 Aberdeen St Ne, Blaine, MN, 55449
Phone (763) 785-4200
Fax (763) 785-3314
Enumeration date Dec 1, 2005
Last updated in NPPES Jul 8, 2007
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 9199 (MN) Primary
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What is the NPI number for Richard Hathaway?
The National Provider Identifier (NPI) for Richard Hathaway is 1710961966, a Type 1 (individual) record in the CMS NPPES registry.
Where does Richard Hathaway practice?
The practice location on file with NPPES is in Blaine, MN. Providers can have multiple locations; NPPES lists the primary practice address.
Other providers at this practice address
Browse all → Carol Sarpal Family Medicine Physician · Blaine, MN NPI 1215911466 John Stoulil Physician Assistant · Blaine, MN NPI 1104800358 Timothy Regan Family Medicine Physician · Blaine, MN NPI 1467436618 William Sievert Family Medicine Physician · Blaine, MN NPI 1083698666 Suzanne Teragawa Family Medicine Physician · Blaine, MN NPI 1558345157
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.