Active NPI
Keeghan Hutchinson
- Speech-Language Pathologist
- Davenport, IA
National Provider Identifier
1316669351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 02615L
- Practice address
- 2339 Pershing Ave
Davenport, IA 52803-2641 - Phone
- (563) 340-9570
- NPI assigned
- Sep 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 02615L | MD | Primary |
Addresses
Primary practice location
2339 Pershing Ave
Davenport, IA 52803-2641
Mailing address
2339 Pershing Ave
Davenport, IA 52803-2641
Phone (563) 340-9570
Other names 1
- Miss Keeghan Elizabeth Hutchinson
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02615L | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663200000000",
"number": "1316669351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2339 PERSHING AVE",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528032641",
"telephone_number": "563-340-9570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2339 PERSHING AVE",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528032641",
"telephone_number": "563-340-9570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTCHINSON",
"first_name": "KEEGHAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-15",
"last_updated": "2022-09-15",
"certification_date": "2022-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "02615L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KEEGHAN",
"last_name": "HUTCHINSON",
"middle_name": "ELIZABETH",
"prefix": "MISS",
"credential": "KEEGHAN HUTCHINSON",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.