Individual provider Active NPI

Patricia A Huttenstine, RN

  • Community Health Registered Nurse
  • Cassopolis, MI
National Provider Identifier
1598906174
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
4704166684 Issued in MI
Practice address
960 E State St
Cassopolis, MI 49031-9339
Phone
(269) 445-2451
Fax
(269) 445-3216
NPI assigned
Mar 12, 2009
Last updated
Mar 12, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 4704166684 MI Primary

Addresses

Primary practice location

960 E State St
Cassopolis, MI 49031-9339

Mailing address

960 E State St
Cassopolis, MI 49031-9339
Phone (269) 445-2451

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704166684MIMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236816000000",
    "number": "1598906174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 E STATE ST",
            "city": "CASSOPOLIS",
            "state": "MI",
            "postal_code": "490319339",
            "telephone_number": "269-445-2451",
            "fax_number": "269-445-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 E STATE ST",
            "city": "CASSOPOLIS",
            "state": "MI",
            "postal_code": "490319339",
            "telephone_number": "269-445-2451",
            "fax_number": "269-445-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTTENSTINE",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-12",
        "last_updated": "2009-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MI",
            "license": "4704166684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cassopolis, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.