Active NPI
Kelsey E Hukill, PA-C
- Physician Assistant
- Rocky Hill, CT
National Provider Identifier
1528415833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3565
- Practice address
- 396 Cromwell Ave
Rocky Hill, CT 06067-1828 - Phone
- (860) 372-4990
- NPI assigned
- May 17, 2016
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3565 | CT | Primary |
Addresses
Primary practice location
396 Cromwell Ave
Rocky Hill, CT 06067-1828
Mailing address
396 Cromwell Ave
Rocky Hill, CT 06067-1828
Phone (860) 372-4990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3565 | Other | CT | CT STATE LICENSING |
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)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475193600000",
"number": "1528415833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "396 CROMWELL AVE",
"city": "ROCKY HILL",
"state": "CT",
"postal_code": "060671828",
"telephone_number": "860-372-4990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "396 CROMWELL AVE",
"city": "ROCKY HILL",
"state": "CT",
"postal_code": "060671828",
"telephone_number": "860-372-4990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUKILL",
"first_name": "KELSEY",
"middle_name": "E",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-17",
"last_updated": "2016-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "3565",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT STATE LICENSING",
"identifier": "3565",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rocky Hill, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.