Active NPI
Kathy J Hutchinson
- Speech-Language Pathologist
- Chillicothe, MO
National Provider Identifier
1740426766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 117275
- Practice address
- 1711 Polk St
Chillicothe, MO 64601-1839 - Phone
- (660) 214-0616
- NPI assigned
- Dec 22, 2008
- Last updated
- Oct 10, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 117275 | MO | Primary |
Addresses
Primary practice location
1711 Polk St
Chillicothe, MO 64601-1839
Mailing address
400 Bobcat Ave
Braymer, MO 64624-9750
Phone (660) 645-2284
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 |
|---|---|---|---|
| 117275 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Braymer C-4 School | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Braymer, MO
- NPI 1003013111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349827200000",
"number": "1740426766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 BOBCAT AVE",
"city": "BRAYMER",
"state": "MO",
"postal_code": "646249750",
"telephone_number": "660-645-2284",
"fax_number": "660-645-2780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 POLK ST",
"city": "CHILLICOTHE",
"state": "MO",
"postal_code": "646011839",
"telephone_number": "660-214-0616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTCHINSON",
"first_name": "KATHY",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-22",
"last_updated": "2012-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "117275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chillicothe, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.