Individual provider Active NPI

Portia S Hutchinson IX, NP-C

  • Family Nurse Practitioner
  • Oak Ridge, TN
National Provider Identifier
1336148519
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000005771 Issued in TN
Practice address
653 Briarcliff Ave
Oak Ridge, TN 37830
Phone
(865) 482-6080
Fax
(865) 482-4070
NPI assigned
Jul 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN59481 TN
Family Nurse Practitioner 363LF0000X APN5771 TN
Family Nurse Practitioner 363LF0000X APN0000005771 TN Primary

Addresses

Primary practice location

653 Briarcliff Ave
Oak Ridge, TN 37830

Mailing address

653 Briarcliff Ave
Oak Ridge, TN 37830
Phone (865) 482-6080

Other identifiers 2

IdentifierTypeStateIssuer
3902933MedicaidTN
3836002MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151012001640 TX Practitioner - Nurse Practitioner 9931152436 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN5771TNMDFamily Nurse Practitioner
RN59481TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fallon Tribal Health Center CurrentSince Oct 3, 2016 Accepting new patients
Cherokee Health Systems Past Accepting new patients
Elderserve, Inc. Past Accepting new patients
New Horizons Continence Management LLC Past Accepting new patients

Locations

1001 Rio Vista Dr
Fallon, NV 89406
Phone (775) 423-3634

Interoperability endpoints

  • Direct secure messaging: portia.hutchinson.p1@direct.rsthc.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1336148519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 BRIARCLIFF AVE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "37830",
            "telephone_number": "865-482-6080",
            "fax_number": "865-482-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 BRIARCLIFF AVE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "37830",
            "telephone_number": "865-482-6080",
            "fax_number": "865-482-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHINSON",
        "first_name": "PORTIA",
        "middle_name": "S",
        "name_suffix": "IX",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "RN59481",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN5771",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000005771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3902933",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3836002",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

Verify at the official NPI Registry.