Individual provider Active NPI

Jessica Hutton

  • Case Manager/Care Coordinator
  • Elkins, WV
National Provider Identifier
1801634084
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1513 Harrison Ave Ste A12
Elkins, WV 26241-3356
Phone
(304) 553-7063
Fax
(304) 591-1038
NPI assigned
Jul 19, 2024
Last updated
Jun 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 37475 WV
Case Manager/Care Coordinator 171M00000X WV Primary

Addresses

Primary practice location

1513 Harrison Ave Ste A12
Elkins, WV 26241-3356

Mailing address

1111 Van Voorhis Rd Ste 2
Morgantown, WV 26505-2737
Phone (304) 598-8900

Other practice location 1

218 Red Oak Dr
Albright, WV 26519-9591
Phone (304) 940-9576

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
37475WVMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1801634084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 VAN VOORHIS RD STE 2",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052737",
            "telephone_number": "304-598-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 HARRISON AVE STE A12",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413356",
            "telephone_number": "304-553-7063",
            "fax_number": "304-591-1038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 Red Oak Dr",
            "address_purpose": "LOCATION",
            "city": "Albright",
            "state": "WV",
            "postal_code": "265199591",
            "country_code": "US",
            "telephone_number": "304-940-9576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUTTON",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-19",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WV",
            "license": "37475",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.