Individual provider Active NPI

Leslie M Hutton, FNP

  • Family Nurse Practitioner
  • Santa Maria, CA
National Provider Identifier
1003186362
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13015 Issued in CA
Practice address
821 E Chapel St Ste 201
Santa Maria, CA 93454-4619
Phone
(805) 922-5749
NPI assigned
Jan 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 13015 CA Primary

Addresses

Primary practice location

821 E Chapel St Ste 201
Santa Maria, CA 93454-4619

Mailing address

821 E Chapel St Ste 201
Santa Maria, CA 93454-4619
Phone (805) 922-5749

Other identifiers 1

IdentifierTypeStateIssuer
13015OtherCANP LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130521000574 CA Order and Referring Only - Nurse Practitioner 5193963742

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
13015CAMDAcupuncturist
52830KYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Okerblom Voegele and Hole MD a Professional Corporation CurrentSince Mar 1, 2006 Accepting new patients
Rockcastle Ventures Inc. D.B.a. Callie Shaffer, M.D. Past Accepting new patients

Locations

915 E Stowell Rd
Ste C
Santa Maria, CA 93454
Phone (805) 934-5140

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1003186362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 E CHAPEL ST STE 201",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544619",
            "telephone_number": "805-922-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 E CHAPEL ST STE 201",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544619",
            "telephone_number": "805-922-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTTON",
        "first_name": "LESLIE",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "13015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "13015",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.