Active NPI
Roswitha H Hutcherson, AU.D.
- Assistive Technology Supplier Audiologist
- Carmichael, CA
National Provider Identifier
1508995317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistive Technology Supplier Audiologist
- License
- AU1131
- Practice address
- 6633 Coyle Ave
Suite 1
Carmichael, CA 95608-6332 - Phone
- (916) 961-2154
- Fax
- (916) 961-7042
- NPI assigned
- Mar 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistive Technology Supplier Audiologist | 231HA2500X | AU1131 | CA | Primary |
Addresses
Primary practice location
6633 Coyle Ave
Suite 1
Carmichael, CA 95608-6332
Mailing address
6633 Coyle Ave
Suite 1
Carmichael, CA 95608-6332
Phone (916) 961-2154
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HA0019360 | Medicaid | CA | |
| AU 1131 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU1131 | CA | MD | Assistive Technology Supplier Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1508995317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6633 COYLE AVE",
"address_2": "SUITE 1",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956086332",
"telephone_number": "916-961-2154",
"fax_number": "916-961-7042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6633 COYLE AVE",
"address_2": "SUITE 1",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956086332",
"telephone_number": "916-961-2154",
"fax_number": "916-961-7042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTCHERSON",
"first_name": "ROSWITHA",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "231HA2500X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Supplier",
"state": "CA",
"license": "AU1131",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HA0019360",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AU 1131",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carmichael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.