Individual provider Active NPI

Diana Sue Hutton, M.ED.

  • Developmental Therapist
  • Villa Hills, KY
National Provider Identifier
1558501643
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
License
000044611 Issued in KY
Practice address
852 Deer Ridge CT
Villa Hills, KY 41017-4009
Phone
(859) 802-7816
Fax
(859) 341-9053
NPI assigned
Mar 2, 2009
Last updated
Mar 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X 000044611 KY Primary

Addresses

Primary practice location

852 Deer Ridge CT
Villa Hills, KY 41017-4009

Mailing address

852 Deer Ridge CT
Villa Hills, KY 41017-4009
Phone (859) 802-7816

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
000044611KYMDDevelopmental Therapist

NPI Registry JSON

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1558501643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 DEER RIDGE CT",
            "city": "VILLA HILLS",
            "state": "KY",
            "postal_code": "410174009",
            "telephone_number": "859-802-7816",
            "fax_number": "859-341-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 DEER RIDGE CT",
            "city": "VILLA HILLS",
            "state": "KY",
            "postal_code": "410174009",
            "telephone_number": "859-802-7816",
            "fax_number": "859-341-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTTON",
        "first_name": "DIANA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "M.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-02",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "KY",
            "license": "000044611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Hills, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.