Stacy M Hutchins, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

22680 Issued in WY

Practice address

2 Lodgepole Dr
Dubois, WY 82513-9619

Phone

(307) 455-3388

Fax

(307) 332-0131

NPI assigned

May 22, 2012

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 22, 2012.

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337644800000",
    "number": "1174883391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LODGEPOLE DR",
            "city": "DUBOIS",
            "state": "WY",
            "postal_code": "825139619",
            "telephone_number": "307-455-3388",
            "fax_number": "307-332-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LODGEPOLE DR",
            "city": "DUBOIS",
            "state": "WY",
            "postal_code": "825139619",
            "telephone_number": "307-455-3388",
            "fax_number": "307-332-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHINS",
        "first_name": "STACY",
        "middle_name": "M",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WY",
            "license": "22680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105726000",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Community Health Center of Central Wyoming Inc
• Dubois Assisted Living, Inc
• Dubois Vision Center
• Linda Carol Eckley, R.N.
• Guardian Flight LLC
• Kristen Kohlbrand, NP
• William Ervin Lemke, PHYSICAL THERAPIST
• Vaughn M Morgan, MD
• Mountain Dental Dubois - Ad LLC
• Mountain Sage Holistic Clinic, LLC

• All providers in Dubois, WY
• Registered Nurse in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.