Active NPI
Skylar Dawn Hutcherson, DC
- Rehabilitation Chiropractor
- Waco, TX
National Provider Identifier
1114678208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 14989
- Practice address
- 1000 W State Highway 6 Ste 130
Waco, TX 76712-3787 - Phone
- (800) 404-6050
- NPI assigned
- Jan 11, 2022
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 14989 | TX | |
| Rehabilitation Chiropractor | 111NR0400X | 14989 | TX | Primary |
Addresses
Primary practice location
1000 W State Highway 6 Ste 130
Waco, TX 76712-3787
Mailing address
PO Box 700688
San Antonio, TX 78270-0688
Phone (800) 404-6050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14989 | Other | TX | CHIROPRACTIC LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | records@airrosti-rehab-ctrs.direct.kno2fy.com | Airrosti Rehab Centers, LLC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706832000000",
"number": "1114678208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 700688",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782700688",
"telephone_number": "800-404-6050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W STATE HIGHWAY 6 STE 130",
"city": "WACO",
"state": "TX",
"postal_code": "767123787",
"telephone_number": "800-404-6050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTCHERSON",
"first_name": "SKYLAR",
"middle_name": "DAWN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-11",
"last_updated": "2024-02-02",
"certification_date": "2024-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "14989",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "TX",
"license": "14989",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTIC LICENSE",
"identifier": "14989",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "records@airrosti-rehab-ctrs.direct.kno2fy.com",
"affiliation": "Y",
"affiliationName": "Airrosti Rehab Centers, LLC",
"address_1": "111 Tower Dr Bldg 1",
"city": "San Antonio",
"state": "TX",
"country_code": "US",
"postal_code": "782323625",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.