Active NPI
Gloria Jean Hutzell, CRFNP
- Family Nurse Practitioner
- West Reading, PA
National Provider Identifier
1033101852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP008511
- Practice address
- 655 Walnut St
West Reading, PA 19611-1242 - Phone
- (619) 372-9222
- Fax
- (610) 372-0232
- NPI assigned
- Aug 17, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP008511 | PA | Primary |
Addresses
Primary practice location
655 Walnut St
West Reading, PA 19611-1242
Mailing address
PO Box 6946
Reading, PA 19610-0946
Phone (610) 372-9222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102579977 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP008511 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All About Children Pediatric Partners PC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 1
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.
-
- Pediatrics Physician
- West Reading, PA
- NPI 1801854401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307318400000",
"number": "1033101852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6946",
"city": "READING",
"state": "PA",
"postal_code": "196100946",
"telephone_number": "610-372-9222",
"fax_number": "610-372-0232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 WALNUT ST",
"city": "WEST READING",
"state": "PA",
"postal_code": "196111242",
"telephone_number": "619-372-9222",
"fax_number": "610-372-0232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTZELL",
"first_name": "GLORIA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "CRFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-17",
"last_updated": "2011-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP008511",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102579977",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Reading, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.