Vivian T. Hutson, RD, LD, FACHE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT06320 Issued in TX

Practice address

550 Pope Ave
Munson Army Health Center
Fort Leavenworth, KS 66027-2332

Phone

(913) 684-6420

Fax

(913) 684-6610

NPI assigned

Nov 9, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1477733152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 POPE AVE",
            "address_2": "MUNSON ARMY HEALTH CENTER",
            "city": "FORT LEAVENWORTH",
            "state": "KS",
            "postal_code": "660272332",
            "telephone_number": "913-684-6420",
            "fax_number": "913-684-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 POPE AVE",
            "address_2": "MUNSON ARMY HEALTH CENTER",
            "city": "FORT LEAVENWORTH",
            "state": "KS",
            "postal_code": "660272332",
            "telephone_number": "913-684-6420",
            "fax_number": "913-684-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTSON",
        "first_name": "VIVIAN",
        "middle_name": "T.",
        "name_prefix": "Ms.",
        "credential": "RD, LD, FACHE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-09",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT06320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION (DIETETIC REG)",
            "identifier": "RD# 717994",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX STATE BOARD(DIETETICS)",
            "identifier": "DT06320",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gail Tyria Houston, PA-C
• Andrew Jacob Hover, RN
• Lisa Jean Hover, P.T.
• Sherry Ann Hughes, PHYSICIAN ASSISTANT
• Leonore Sylvia Hutchison, BSN RN
• Ann Marie Ingala
• Christine A. Jacobs, D.O.
• Beverly Jefferson, RN
• Jeffrey Jon Jepperson, D.D.S.
• Rachel Lee Jeter, LSCSW

• Registered Dietitian in Fort Leavenworth, KS
• Providers in Fort Leavenworth, KS by specialty
• Registered Dietitian in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.