Active NPI
Lavetta Hutchinson, NP
- Nurse Practitioner
- Gary, WV
National Provider Identifier
1366513228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 38044
- Practice address
- Route 103 Supply Street
Gary, WV 24836-0507 - Phone
- (304) 448-2101
- Fax
- (304) 448-3217
- NPI assigned
- Nov 13, 2006
- Last updated
- Sep 20, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 38044 | WV | Primary |
Addresses
Primary practice location
Route 103 Supply Street
Gary, WV 24836-0507
Mailing address
221 Stewart St
Welch, WV 24801-2027
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810011595 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38044 | WV | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Healthcare Associates, Inc | Past | Accepting new patients | |
| Tug River Health Association, Inc | Past | Accepting new patients | |
| Tug River Health Association, Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Rural Health Clinic/Center
- Welch, WV
- NPI 1215365028
-
- Clinical Medical Laboratory
- Gary, WV
- NPI 1831275171
-
- Federally Qualified Health Center (FQHC)
- Gary, WV
- NPI 1922184266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284940800000",
"number": "1366513228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 STEWART ST",
"city": "WELCH",
"state": "WV",
"postal_code": "248012027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ROUTE 103 SUPPLY STREET",
"city": "GARY",
"state": "WV",
"postal_code": "248360507",
"telephone_number": "304-448-2101",
"fax_number": "304-448-3217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTCHINSON",
"first_name": "LAVETTA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2010-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WV",
"license": "38044",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810011595",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gary, WV
- Tara Cummings
- Sandra L Estep, FNP-BC
- Sabrina Lynn Fowler
- Chyna Montaya Gray
- Cristie D Hatfield, DENTAL HYGENTIST
- Jennifer Marie Johnson, FNP-C
- Joseph Clary Kirkpatrick, DO
- McDowell Nursing & Rehabilitation Center LLC
- McDowell SNF LLC (McDowell Rehabilitation and Healthcare Center)
- Jacosta Ann McKinney
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.