Active NPI
Patricia Lee Hutchison, MD
- Pediatric Adolescent Medicine Physician
- Charleston, SC
National Provider Identifier
1124136080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 18056
- Practice address
- 181 Calhoun St
Charleston, SC 29424-0001 - Phone
- (843) 953-5520
- NPI assigned
- Aug 29, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 18056 | SC | Primary |
Addresses
Primary practice location
181 Calhoun St
Charleston, SC 29424-0001
Mailing address
55 Hopetown Rd
Mt Pleasant, SC 29464-6662
Phone (843) 478-5650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180565 | Medicaid | SC |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18056 | SC | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264464000000",
"number": "1124136080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 HOPETOWN RD",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294646662",
"telephone_number": "843-478-5650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 CALHOUN ST",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294240001",
"telephone_number": "843-953-5520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTCHISON",
"first_name": "PATRICIA",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2010-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "SC",
"license": "18056",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "180565",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.