Active NPI
Jill J Hutzel
- School Psychologist
- Stafford, VA
National Provider Identifier
1093379448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 31 Stafford Ave
Stafford, VA 22554-7246 - Phone
- (540) 658-6300
- NPI assigned
- Apr 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | Primary |
Addresses
Primary practice location
31 Stafford Ave
Stafford, VA 22554-7246
Mailing address
303 King St
Fredericksburg, VA 22405-2337
Phone (540) 287-1114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1818 | Medicaid | VA |
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": "1556582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556582400000",
"number": "1093379448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 KING ST",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224052337",
"telephone_number": "540-287-1114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 STAFFORD AVE",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225547246",
"telephone_number": "540-658-6300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTZEL",
"first_name": "JILL",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-30",
"last_updated": "2019-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1818",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stafford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.