Active NPI
Daneen R Hutchinson
- Case Manager/Care Coordinator
- Beaumont, CA
National Provider Identifier
1073011052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 14700 Manzanita Rd
Beaumont, CA 92223 - Phone
- (951) 845-3155
- NPI assigned
- Jan 25, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
14700 Manzanita Rd
Beaumont, CA 92223
Mailing address
14700 Manzanita Rd
Beaumont, CA 92223-3026
Phone (951) 845-3155
Other practice location 1
14579 Lynnlee Ln
Moreno Valley, CA 92555-4720
Phone (951) 214-3675
Other practice location 2
14579 Lynnlee Ln
Moreno Valley, CA 92555-4720
Phone (951) 214-3675
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902956584 | Other | CA | MEDI CAL |
| 1073011052 | Other | CA | MEDI CAL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537142400000",
"number": "1073011052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14700 MANZANITA RD",
"city": "BEAUMONT",
"state": "CA",
"postal_code": "922233026",
"telephone_number": "951-845-3155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14700 MANZANITA RD",
"city": "BEAUMONT",
"state": "CA",
"postal_code": "92223",
"telephone_number": "951-845-3155"
}
],
"practiceLocations": [
{
"address_1": "14579 Lynnlee Ln",
"address_purpose": "LOCATION",
"city": "Moreno Valley",
"state": "CA",
"postal_code": "925554720",
"country_code": "US",
"telephone_number": "951-214-3675",
"fax_number": "951-214-3675",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14579 Lynnlee Ln",
"address_purpose": "LOCATION",
"city": "Moreno Valley",
"state": "CA",
"postal_code": "925554720",
"country_code": "US",
"telephone_number": "951-214-3675",
"fax_number": "951-214-3675",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUTCHINSON",
"first_name": "DANEEN",
"middle_name": "R",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-25",
"last_updated": "2018-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI CAL",
"identifier": "1902956584",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI CAL",
"identifier": "1073011052",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beaumont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.