Active NPI
Sondra Kay Hutchison, CANP
- Nurse Practitioner
- Crawfordsville, IN
National Provider Identifier
1356300768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71001764A
- Practice address
- 1630 Lafayette Rd Ste 200
Crawfordsville, IN 47933-1092 - Phone
- (765) 359-2230
- Fax
- (765) 359-2236
- NPI assigned
- Mar 23, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Health Nurse Practitioner | 363LX0106X | 71001764A | IN | |
| Nurse Practitioner | 363L00000X | 71001764A | IN | Primary |
Addresses
Primary practice location
1630 Lafayette Rd Ste 200
Crawfordsville, IN 47933-1092
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9397631 | Other | IN | PHCS PID NUMBER |
| 200499300 | Medicaid | IN | |
| 000000372075 | Other | IN | ANTHEM PROVIDER NUMBER |
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
- Credentials
- Certified Adult Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71001764A | IN | MD | Occupational Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1356300768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 LAFAYETTE RD STE 200",
"city": "CRAWFORDSVILLE",
"state": "IN",
"postal_code": "479331092",
"telephone_number": "765-359-2230",
"fax_number": "765-359-2236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTCHISON",
"first_name": "SONDRA",
"middle_name": "KAY",
"credential": "CANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-23",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0106X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Occupational Health",
"state": "IN",
"license": "71001764A",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71001764A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS PID NUMBER",
"identifier": "9397631",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200499300",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000372075",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Crawfordsville, IN
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.