Active NPI
Amy Brooke Hutcherson, LMT
- Specialist
- Pantego, TX
National Provider Identifier
1699101725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MT113413
- Practice address
- 2400 W Park Row Dr Ste a
Pantego, TX 76013-3351 - Phone
- (817) 501-6108
- NPI assigned
- Sep 20, 2013
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MT113413 | TX | Primary |
Addresses
Primary practice location
2400 W Park Row Dr Ste a
Pantego, TX 76013-3351
Mailing address
2400 W Park Row Dr Ste a
Pantego, TX 76013-3351
Phone (817) 501-6108
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT113413 | TX | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379635200000",
"number": "1699101725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 W PARK ROW DR STE A",
"city": "PANTEGO",
"state": "TX",
"postal_code": "760133351",
"telephone_number": "817-501-6108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 W PARK ROW DR STE A",
"city": "PANTEGO",
"state": "TX",
"postal_code": "760133351",
"telephone_number": "817-501-6108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTCHERSON",
"first_name": "AMY",
"middle_name": "BROOKE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-20",
"last_updated": "2013-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "MT113413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pantego, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.