Active NPI
Cynthia I Hutton, FNP
- Nurse Practitioner
- Medford, OR
National Provider Identifier
1295715639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Practice address
- 2860 Creekside Cir
Medford, OR 97504 - Phone
- (541) 779-8367
- Fax
- (541) 779-7471
- NPI assigned
- Jan 20, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | OR | Primary |
Addresses
Primary practice location
2860 Creekside Cir
Medford, OR 97504
Mailing address
PO Box 1320
Jacksonville, OR 97530
Phone (541) 821-0023
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 084215 | Medicaid | OR |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 081001373RN | OR | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rogue Valley Physicians PC | Past | Accepting new patients | |
| Gastroenterology Consultants, PC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gastroenterology Physician
- Medford, OR
- NPI 1639104136
-
dba Family Practice Group
- Primary Care Clinic/Center
- Medford, OR
- NPI 1114190121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295715639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1320",
"city": "JACKSONVILLE",
"state": "OR",
"postal_code": "97530",
"telephone_number": "541-821-0023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2860 CREEKSIDE CIR",
"city": "MEDFORD",
"state": "OR",
"postal_code": "97504",
"telephone_number": "541-779-8367",
"fax_number": "541-779-7471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTTON",
"first_name": "CYNTHIA",
"middle_name": "I",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "084215",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
- Robin Hutchins, LPC
- Rebecca Hutchinson, LMT
- Martha Hutchison, LCSW
- Mark M Huth, MD, FACC
- Hutter & Seeley Psychological Services, P.C. (Advanced Psychological Services)
- Harvey Hwang, MD
- Christine Burton Hyatt Boyd, PHYSICAL THERAPIST
- Judson Fletcher Hyatt, PHARMACIIST
- Connor Hyde, PA-C
- Edward Curtis Hyde, R.PH.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.