Carol Hutelmyer, MSN CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

UP001859C Issued in PA

Practice address

5501 Old York Rd
Community Practice Center, Paley 1
Philadelphia, PA 19141-3018

Phone

(215) 456-7991

Fax

(215) 456-7375

NPI assigned

Oct 25, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1417136532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 OLD YORK RD",
            "address_2": "COMMUNITY PRACTICE CENTER, PALEY 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413018",
            "telephone_number": "215-456-7991",
            "fax_number": "215-456-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 OLD YORK RD",
            "address_2": "COMMUNITY PRACTICE CENTER, PALEY 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413018",
            "telephone_number": "215-456-7991",
            "fax_number": "215-456-7375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTELMYER",
        "first_name": "CAROL",
        "credential": "MSN CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "UP001859C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alaiya Corin Hutchinson
• Christoph Thomas Hutchinson, M.D.
• Morgan L Hutchinson, MD
• Courtney Ann Hutchison, LSW, MPH
• Julie Hutchison, PA
• Hannah Huth, MD
• Alexander Huther, MD
• Hutson Heart Homecare
• Bradley Hutton, DO
• Vitelese Remi' Hutton, RD

• Adult Health Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Adult Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.