Active NPI
Randall R Hutchings, MD
- Family Medicine Physician
- Nampa, ID
National Provider Identifier
1609818228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M4670
- Practice address
- 1510 12TH Ave Rd
Ste 200
Nampa, ID 83686 - Phone
- (208) 302-6800
- Fax
- (208) 302-6855
- NPI assigned
- Jun 11, 2006
- Last updated
- Nov 9, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M4670 | ID | Primary |
Addresses
Primary practice location
1510 12TH Ave Rd
Ste 200
Nampa, ID 83686
Mailing address
3340 E Goldstone Way
Meridian, ID 83642-1026
Phone (208) 302-6800
Other practice location 1
211 W Iowa Ave
Nampa, ID 83686-2834
Phone (208) 465-7377
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003733600 | Medicaid | ID |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M4670 | ID | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Alphonsus Medical Center Nampa, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Nampa, ID
- NPI 1659371870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510185600000",
"number": "1609818228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 E GOLDSTONE WAY",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836421026",
"telephone_number": "208-302-6800",
"fax_number": "208-302-6855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 12TH AVE RD",
"address_2": "STE 200",
"city": "NAMPA",
"state": "ID",
"postal_code": "83686",
"telephone_number": "208-302-6800",
"fax_number": "208-302-6855"
}
],
"practiceLocations": [
{
"address_1": "211 W Iowa Ave",
"address_purpose": "LOCATION",
"city": "Nampa",
"state": "ID",
"postal_code": "836862834",
"country_code": "US",
"telephone_number": "208-465-7377",
"fax_number": "208-465-7397",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUTCHINGS",
"first_name": "RANDALL",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-11",
"last_updated": "2017-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "M4670",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003733600",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.