Active NPI
Marie Jasmine Hutchinson, RN
- Community Health Registered Nurse
- Eugene, OR
National Provider Identifier
1043078736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 202101215
- Practice address
- 4078 Scottdale St
Eugene, OR 97404-1224 - Phone
- (909) 248-4207
- NPI assigned
- Mar 8, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 202101215 | OR | |
| Registered Nurse | 163W00000X | 94067844 | CA | |
| Community Health Registered Nurse | 163WC1500X | 202101215 | OR | Primary |
Addresses
Primary practice location
4078 Scottdale St
Eugene, OR 97404-1224
Mailing address
5305 River Rd N Ste B
Keizer, OR 97303-5324
Phone (909) 248-4207
Other names 1
- Marie Jasmine Jones
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94067844 | CA | MD | Registered Nurse |
| 202101215 | OR | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reachable Wellness LLC | Current | Accepting new patients |
Locations
5305 River Rd N
Ste B
Keizer, OR 97303
Phone (248) 221-1670
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.
-
- Health Maintenance Organization
- Eugene, OR
- NPI 1073364279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711497600000",
"number": "1043078736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5305 RIVER RD N STE B",
"city": "KEIZER",
"state": "OR",
"postal_code": "973035324",
"telephone_number": "909-248-4207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4078 SCOTTDALE ST",
"city": "EUGENE",
"state": "OR",
"postal_code": "974041224",
"telephone_number": "909-248-4207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTCHINSON",
"first_name": "MARIE",
"middle_name": "JASMINE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-08",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "202101215",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "94067844",
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "OR",
"license": "202101215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIE",
"last_name": "JONES",
"middle_name": "JASMINE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.