Individual provider Active NPI

Kim M Hutchinson, EDD, APRN,BC

  • Psychiatric/Mental Health Registered Nurse
  • Winston Salem, NC
National Provider Identifier
1730170408
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
074886 Issued in NC
Practice address
One Medical Center Blvd - 10 Ardmore Tower Wesr
Winston Salem, NC 27157-0001
Phone
(336) 713-2238
Fax
(336) 713-2242
NPI assigned
Nov 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 074886 NC
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 074886 NC
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist 364SP0807X 2005001113 MD
Psychiatric/Mental Health Registered Nurse 163WP0808X 074886 NC Primary

Addresses

Primary practice location

One Medical Center Blvd - 10 Ardmore Tower Wesr
Winston Salem, NC 27157-0001

Mailing address

3771 Barnwell Dr
Winston Salem, NC 27105-9719
Phone (336) 748-8666

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

LicenseStateTypeSpecialty
074886NCMDPsychologist
2005001113MDMDChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1730170408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3771 BARNWELL DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271059719",
            "telephone_number": "336-748-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL CENTER BLVD - 10 ARDMORE TOWER WESR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-713-2238",
            "fax_number": "336-713-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHINSON",
        "first_name": "KIM",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "EDD, APRN,BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "074886",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "074886",
            "primary": false
        },
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "MD",
            "license": "2005001113",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NC",
            "license": "074886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.