Individual provider Active NPI

Gennell Ann Hutsell, OT

  • Occupational Therapist
  • Van Buren, AR
National Provider Identifier
1073844056
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
113398 Issued in TX
Practice address
6026 Crescent Acres LN
Van Buren, AR 72956-8467
Phone
(479) 883-3207
NPI assigned
Jan 14, 2010
Last updated
Jan 14, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1866 AR
Occupational Therapist 225X00000X 1392 OK
Occupational Therapist 225X00000X 113398 TX Primary

Addresses

Primary practice location

6026 Crescent Acres LN
Van Buren, AR 72956-8467

Mailing address

6026 Crescent Acres LN
Van Buren, AR 72956-8467
Phone (479) 883-3207

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

State licenses

LicenseStateTypeSpecialty
1392OKMDCounselor
1866ARMDOccupational Therapist
113398TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Adair Ya, LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1073844056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6026 CRESCENT ACRES LN",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729568467",
            "telephone_number": "479-883-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6026 CRESCENT ACRES LN",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729568467",
            "telephone_number": "479-883-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTSELL",
        "first_name": "GENNELL",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-14",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "1866",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "1392",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "113398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Buren, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.