Kezzy Burth-Hutchinson

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1095 Issued in ND

Practice address

1515 2ND Ave W
Williston, ND 58801-4108

Phone

(701) 572-6766

NPI assigned

Sep 29, 2014

Last updated

Sep 29, 2014By the provider in NPPES

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

State licenses

Practice roles

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.

• Bethel Lutheran Nursing & Rehabilitation Center

  • Skilled Nursing Facility
  • Williston, ND
  • NPI 1306830427
  NPD (past)

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1487057998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 2ND AVE W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588014108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 2ND AVE W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588014108",
            "telephone_number": "701-572-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTH-HUTCHINSON",
        "first_name": "KEZZY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ND",
            "license": "1095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William J Brunsman, MD
• Nicole Bryant
• Mandy J Buick, LSW
• Buntrock Detnal PC
• Kaitlyn Burch, FNP-C
• Keith Allen Butler
• Lindsey Jean Buxbaum
• Kadie-Ann Caballero-Dennis, LPC,NCC
• Caldera Therapy, PLLC
• Danielle Kyrsten Campagnola, LPCC

• Physical Therapy Assistant in Williston, ND
• Providers in Williston, ND by specialty
• Physical Therapy Assistant in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.