Active NPI
Kimberly Ann Hutton, MSW
- Clinical Social Worker
- Sparks, NV
National Provider Identifier
1144250002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7677-C
- Practice address
- 2244 Oddie Blvd
Sparks, NV 89431 - Phone
- (775) 997-7300
- Fax
- (775) 997-7350
- NPI assigned
- Jul 4, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | MI | ||
| Clinical Social Worker | 1041C0700X | 7677-C | NV | Primary |
Addresses
Primary practice location
2244 Oddie Blvd
Sparks, NV 89431
Mailing address
680 S Rock Blvd
Reno, NV 89502-4113
Phone (775) 329-6300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8008976290 | Other | MI | BCBSM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
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": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532563200000",
"number": "1144250002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 S ROCK BLVD",
"city": "RENO",
"state": "NV",
"postal_code": "895024113",
"telephone_number": "775-329-6300",
"fax_number": "775-348-3896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2244 ODDIE BLVD",
"city": "SPARKS",
"state": "NV",
"postal_code": "89431",
"telephone_number": "775-997-7300",
"fax_number": "775-997-7350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTTON",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2018-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "7677-C",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "8008976290",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.