Individual provider Active NPI

Olivia Hutcheson, APRN, FNP-C

  • Family Nurse Practitioner
  • Erin, TN
National Provider Identifier
1780148460
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25370 Issued in TN
Practice address
21 W Roby Dr
Erin, TN 37061
Phone
(931) 289-2450
NPI assigned
Jan 26, 2019
Last updated
Nov 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 25370 TN Primary

Addresses

Primary practice location

21 W Roby Dr
Erin, TN 37061

Mailing address

1000 Highway 76
Clarksville, TN 37043-8405
Phone (931) 245-1150

Other practice location 1

835 E Poplar Ave
Selmer, TN 38375-1832
Phone (731) 645-3201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190408000874 TN Practitioner - Nurse Practitioner 7618218348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Covenant Family Practice, PCGroup PAC ID 6305839093, 15 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

21 W Roby Dr
Erin, TN 37061-6113
Phone (931) 289-2450

980 Professional Park Dr
Suite D
Clarksville, TN 37040-5251
Phone (931) 221-9967

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Family Practice, PC CurrentSince Feb 22, 2019 Accepting new patients

Locations

1000 Highway 76
Clarksville, TN 37043
Phone (931) 245-1150

236 Uffelman Dr
Clarksville, TN 37043
Phone (931) 647-6305

1511 Donelson Pkwy
Dover, TN 37058
Phone (931) 232-5555

Interoperability endpoints

  • Direct secure messaging: olivia.hutcheson.1@18155.direct.athenahealth.com

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.

Hospital & facility affiliations 7

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": "1548460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1780148460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HIGHWAY 76",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438405",
            "telephone_number": "931-245-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W ROBY DR",
            "city": "ERIN",
            "state": "TN",
            "postal_code": "37061",
            "telephone_number": "931-289-2450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "835 E Poplar Ave",
            "address_purpose": "LOCATION",
            "city": "Selmer",
            "state": "TN",
            "postal_code": "383751832",
            "country_code": "US",
            "telephone_number": "731-645-3201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUTCHESON",
        "first_name": "OLIVIA",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-26",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "25370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erin, TN

Sources for this page

Verify at the official NPI Registry.