Active NPI
Patricia L Hutkin, FAMILY NP
- Family Nurse Practitioner
- Newark, DE
National Provider Identifier
1659800696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- LG-0001043
- 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, 2019
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LG-0001043 | DE | MD | Family 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.