Active NPI
Vanessa Joy Hutton, DNP-PMNHP
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
National Provider Identifier
1720723851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 202211731NP-PP
- Practice address
- 2801 N Gantenbein Ave
Portland, OR 97227-1623 - Phone
- (503) 413-4800
- NPI assigned
- May 3, 2022
- Last updated
- Oct 24, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 930386823 | OR | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 202211731NP-PP | OR | Primary |
Addresses
Primary practice location
2801 N Gantenbein Ave
Portland, OR 97227-1623
Mailing address
2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (503) 413-4800
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | vjhutton@lhs.org | Other | Legacy Health System |
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 |
|---|---|---|---|
| 930386823 | OR | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NW Behavioral Health Practice Management | Current | Accepting new patients | |
| NW Behavioral Health Collaborative | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
1625 SE 192nd Ave
Ste 206
Camas, WA 98607
Phone (360) 364-2323
Organizations & group practices 2
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Camas, WA
- NPI 1770276586
-
- Specialist
- Camas, WA
- NPI 1023978723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666569600000",
"number": "1720723851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 N GANTENBEIN AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972271623",
"telephone_number": "503-413-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 N GANTENBEIN AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972271623",
"telephone_number": "503-413-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTTON",
"first_name": "VANESSA",
"middle_name": "JOY",
"credential": "DNP-PMNHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-03",
"last_updated": "2022-10-24",
"certification_date": "2022-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "930386823",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "202211731NP-PP",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "vjhutton@lhs.org",
"affiliation": "Y",
"endpointDescription": "work email",
"affiliationName": "Legacy Health System",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "updates",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "updates",
"address_1": "2801 N Gantenbein Ave",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972271623",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.