Tracie Hutchinson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

4342 Gallia St Ste a
Portsmouth, OH 45662-5563

Phone

(740) 529-1184

Fax

(740) 876-4118

NPI assigned

Oct 28, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1346840428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4342 GALLIA ST STE A",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456625563",
            "telephone_number": "740-529-1184",
            "fax_number": "740-876-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4342 GALLIA ST STE A",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456625563",
            "telephone_number": "740-529-1184",
            "fax_number": "740-876-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHINSON",
        "first_name": "TRACIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "southernhoperecoverycenter@gmail.com",
            "affiliation": "N",
            "address_1": "4342 Gallia St Ste A",
            "city": "Portsmouth",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456625563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessica Hurles, PEER SUPPORT
• Brittiany N Hurn
• Candy A Hurst
• Chanelle Hussey
• Michelle Mae Hutchinson
• Courtney Douglas Hylton
• Ibrahim M Zayneh MD LLC
• Robert Gerard Idzakovich, FNP
• Stacie Ingram, CDCA
• Tsuyoshi Inoshita, M.D.

• Case Manager/Care Coordinator in Portsmouth, OH
• Providers in Portsmouth, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.