Individual provider Active NPI

Jenna Mae Hutchinson, RT(R)

  • Technician/Technologist
  • Brunswick, GA
National Provider Identifier
1336870344
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Technician/TechnologistTaxonomy code 156F00000X
License
475597 Issued in GA
Practice address
204 Palm Club Cir
Brunswick, GA 31525-2049
Phone
(912) 222-0475
Fax
(912) 244-9725
NPI assigned
Jun 21, 2022
Last updated
Jun 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Technician/Technologist 156F00000X 475597 GA Primary

Addresses

Primary practice location

204 Palm Club Cir
Brunswick, GA 31525-2049

Mailing address

204 Palm Club Cir
Brunswick, GA 31525-2049
Phone (912) 222-0475

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL jennahutchinson@anywherexray.com Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
475597GAMDTechnician/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Anywhere X-Ray LLC CurrentSince Jun 26, 2022 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1336870344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 PALM CLUB CIR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315252049",
            "telephone_number": "912-222-0475",
            "fax_number": "912-244-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 PALM CLUB CIR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315252049",
            "telephone_number": "912-222-0475",
            "fax_number": "912-244-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHINSON",
        "first_name": "JENNA",
        "middle_name": "MAE",
        "credential": "RT(R)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": "GA",
            "license": "475597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jennahutchinson@anywherexray.com",
            "affiliation": "N",
            "endpointDescription": "company e-mail",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "e-mail correspondence, will reply",
            "address_1": "204 Palm Club Cir",
            "city": "Brunswick",
            "state": "GA",
            "country_code": "US",
            "postal_code": "315252049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

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

Verify at the official NPI Registry.