Individual provider Active NPI

Faith Hutchinson, LPN

  • Licensed Practical Nurse
  • Rockville Centre, NY
National Provider Identifier
1114222643
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
211433-1 Issued in NY
Practice address
510 Jefferson Ave
Rockville Centre, NY 11570-3312
Phone
(347) 668-6078
Fax
(516) 678-0728
NPI assigned
Jan 13, 2011
Last updated
Jan 13, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 211433-1 NY Primary
Licensed Practical Nurse 164W00000X 02906389 NY

Addresses

Primary practice location

510 Jefferson Ave
Rockville Centre, NY 11570-3312

Mailing address

510 Jefferson Ave
Rockville Centre, NY 11570-3312
Phone (347) 668-6078

Other identifiers 1

IdentifierTypeStateIssuer
02906389MedicaidNY

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

State licenses

LicenseStateTypeSpecialty
02906389NYMDLicensed Practical Nurse
211433-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1114222643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 JEFFERSON AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703312",
            "telephone_number": "347-668-6078",
            "fax_number": "516-678-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 JEFFERSON AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703312",
            "telephone_number": "347-668-6078",
            "fax_number": "516-678-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHINSON",
        "first_name": "FAITH",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "211433-1",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "02906389",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02906389",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.