Active NPI
Camellia Hutchinson
- Nurse Practitioner
- Lexington, KY
National Provider Identifier
1306983085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3004978
- Practice address
- 100 N Eagle Creek Dr
Lexington, KY 40509-1805 - Phone
- (859) 258-5102
- Fax
- (859) 258-5177
- NPI assigned
- Jan 31, 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 | 3004978 | KY | Primary |
Addresses
Primary practice location
100 N Eagle Creek Dr
Lexington, KY 40509-1805
Mailing address
100 N Eagle Creek Dr
Lexington, KY 40509-1805
Phone (859) 258-5102
Other practice location 1
455 Bullion Blvd
Winchester, KY 40391-2933
Phone (859) 745-7700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100163500 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | chutchinson7307@bhkydirect.com |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3004978 | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul E McLaughlin | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Mt Sterling, KY
- NPI 1881736817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1306983085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N EAGLE CREEK DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405091805",
"telephone_number": "859-258-5102",
"fax_number": "859-258-5177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N EAGLE CREEK DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405091805",
"telephone_number": "859-258-5102",
"fax_number": "859-258-5177"
}
],
"practiceLocations": [
{
"address_1": "455 Bullion Blvd",
"address_purpose": "LOCATION",
"city": "Winchester",
"state": "KY",
"postal_code": "403912933",
"country_code": "US",
"telephone_number": "859-745-7700",
"fax_number": "859-745-7733",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUTCHINSON",
"first_name": "CAMELLIA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2022-07-21",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3004978",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100163500",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "chutchinson7307@bhkydirect.com",
"affiliation": "N",
"address_1": "1775 Alysheba Way Ste 160",
"city": "Lexington",
"state": "KY",
"country_code": "US",
"postal_code": "405092480",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.