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NPISignal

Individual Healthcare Provider

Amanda Hatathlie

NPI Record: ActiveTechnician, Other
NPI1700564507
Polacca, Arizona

Provider's NPPES record last updated: July 11, 2023

Overview

Entity Type
Individual Healthcare Provider
NPI
1700564507
Primary Specialty
Technician, Other
Practice Location
Polacca, Arizona
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 7:51 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Technician, Other

    Technologists, Technicians & Other Technical Service Providers

    Primary

    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.

    Taxonomy code 247200000X

Provider-Reported License Information

Technician, Other (Arizona)
2517199
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

Highway 264 Mile Post 388

Polacca, Arizona 86042

Phone: (928) 737-6000

Record Information

Enumeration Date
July 11, 2023
Provider's NPPES Record Last Updated
July 11, 2023
Certification Date
July 3, 2023
NPISignal NPPES Dataset
August 2026

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Incorrect provider information

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