Individual provider Active NPI

Patricia L Hutkin, FAMILY NP

  • Family Nurse Practitioner
  • Newark, DE
National Provider Identifier
1659800696
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0001043 Issued in DE
Practice address
4923 Ogletown Stanton Rd Ste 110
Newark, DE 19713-2081
Phone
(615) 488-0702
Fax
(615) 488-0708
NPI assigned
Jun 4, 2017
Last updated
Apr 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LG-0001043 DE Primary

Addresses

Primary practice location

4923 Ogletown Stanton Rd Ste 110
Newark, DE 19713-2081

Mailing address

1661 Hewes Ave
Linwood, PA 19061-4219
Phone (302) 437-9190

Other practice location 1

55 Broad St
New York, NY 10004-2501
Phone (347) 761-3250

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
LG-0001043DEMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1496534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1659800696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 HEWES AVE",
            "city": "LINWOOD",
            "state": "PA",
            "postal_code": "190614219",
            "telephone_number": "302-437-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4923 OGLETOWN STANTON RD STE 110",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132081",
            "telephone_number": "615-488-0702",
            "fax_number": "615-488-0708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Broad St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100042501",
            "country_code": "US",
            "telephone_number": "347-761-3250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUTKIN",
        "first_name": "PATRICIA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "FAMILY NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-04",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0001043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.