Stacy Dyan Hutt, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP134940 Issued in TX

Practice address

3650 Old Bullard Rd Ste 310
Tyler, TX 75701-8667

Phone

(936) 662-3060

NPI assigned

Dec 27, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Maxxam Hormone & Health PLLC

  • Family Nurse Practitioner
  • Humble, TX
  • NPI 1982227245
  NPD

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1447766548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 OLD BULLARD RD STE 310",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018667",
            "telephone_number": "936-662-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 OLD BULLARD RD STE 310",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018667",
            "telephone_number": "936-662-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTT",
        "first_name": "STACY",
        "middle_name": "DYAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-27",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Afshan Khalid Hussain, M.D.
• David Huston, P.A.
• Amanda Rose Hutchens, M.D.
• Jill Marie Hutchins, M.S., L.P.C.
• Treasia Hutchinson
• Megan Hutte
• Stephen A Hutto, MD
• Julia D Hwang, MD
• Bryan Todd Hyland, MD
• Benjamin Hyman, M.D.

• Family Nurse Practitioner in Tyler, TX
• Providers in Tyler, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.