Katina Fowler Hutson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA09005 Issued in TX

Practice address

9101 N Central Expy Ste 600
Dallas, TX 75231-5956

Phone

(214) 818-0935

Fax

(214) 887-3525

NPI assigned

Feb 25, 2014

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Richard Ha MD PAGroup PAC ID 2567431174, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Scott and White Medical Center Uptown Hospital, Dallas, TX, CCN 450422

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Richard Ha MD PA

  • Plastic and Reconstructive Surgery Physician
  • Dallas, TX
  • NPI 1902941065
  Medicare reassignment Care Compare group
• Pediatric Plastic Surgery, PLLC

  • Plastic and Reconstructive Surgery Physician
  • Dallas, TX
  • NPI 1558419358
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• MSH Partners, LLC

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1386647717
  Care Compare affiliation

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1487079661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1342 BUENA PARK DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750331498",
            "telephone_number": "601-624-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 N CENTRAL EXPY STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315956",
            "telephone_number": "214-818-0935",
            "fax_number": "214-887-3525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2355 E Grapevine Mills Cir",
            "address_purpose": "LOCATION",
            "city": "Grapevine",
            "state": "TX",
            "postal_code": "760512047",
            "country_code": "US",
            "telephone_number": "972-539-6330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUTSON",
        "first_name": "KATINA",
        "middle_name": "FOWLER",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-25",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan C Hutchinson, MD
• Sean Zhang Hutchinson, M.D.
• Kathryn Rhyne Hutchison, PA-C
• James Frank Huth, MD
• Brent B. Hutson, D.D.S., M.S.
• Thomas Edgar Hutson, DO,PHARMD
• Jake Hutto
• Jessica L Hutto, M.D.
• Anneka Mariesha Hutton, MD
• Ellen Hutton, M.S.

• Physician Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.