Active NPI
Gennell Ann Hutsell, OT
- Occupational Therapist
- Van Buren, AR
National Provider Identifier
1073844056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 113398
- Practice address
- 6026 Crescent Acres LN
Van Buren, AR 72956-8467 - Phone
- (479) 883-3207
- NPI assigned
- Jan 14, 2010
- Last updated
- Jan 14, 2010
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1392 | OK | MD | Counselor |
| 1866 | AR | MD | Occupational Therapist |
| 113398 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New 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.