NPIMap

Individual provider Active NPI

Sandra Kay Hutchison, M.D.

  • Family Medicine Physician
  • Livingston, TX
National Provider Identifier
1710030275
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N4485 Issued in TX
Practice address
403 Ogletree Dr Ste 105
Livingston, TX 77351-9444
Phone
(936) 328-5612
Fax
(936) 328-5619
NPI assigned
Jan 19, 2007
Last updated
Sep 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N4485 TX Primary

Addresses

Primary practice location

403 Ogletree Dr Ste 105
Livingston, TX 77351-9444

Mailing address

403 Ogletree Dr Ste 105
Livingston, TX 77351-9444
Phone (936) 328-5612

Other practice location 1

403 Ogletree Dr
Suite 210
Livingston, TX 77351-9444
Phone (936) 327-7799

Other identifiers 1

IdentifierTypeStateIssuer
62567505MedicaidTX

Other names 1

  • Sandra Kay Eppink Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091130000396 TX Practitioner - Family Practice 3870493042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sandra K Hutchison MD PLLCGroup PAC ID 6305194432, 2 clinicians

Practice addresses (Care Compare)

300 Bypass LN
Suite 200
Livingston, TX 77351-8416
Phone (936) 328-5612

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N4485TXMDFamily Medicine Physician
L1304TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Core Physical Therapy, PLLC Past Accepting new patients
Hughes Emergency Physicians Past Accepting new patients
Baylor St. Luke's Medical Group Family Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIHBCA

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
1St Quality Hospice LLCLivingston, TX, CCN 671729 Hospice Contracted Managing Employee Oct 30, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1710030275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 OGLETREE DR STE 105",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773519444",
            "telephone_number": "936-328-5612",
            "fax_number": "936-328-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 OGLETREE DR STE 105",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773519444",
            "telephone_number": "936-328-5612",
            "fax_number": "936-328-5619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 Ogletree Dr",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "TX",
            "postal_code": "773519444",
            "country_code": "US",
            "telephone_number": "936-327-7799",
            "fax_number": "936-327-6211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUTCHISON",
        "first_name": "SANDRA",
        "middle_name": "KAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N4485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "62567505",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "EPPINK",
            "middle_name": "KAY",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Livingston, TX

Sources for this page

Verify at the official NPI Registry.