NPIMap

Organization Active NPI

Hutchinson Clinic, PA, Inc.

Doing business as Hutchinson Clinic Diabetes Prevention Program

  • Health Educator
  • Hutchinson, KS
National Provider Identifier
1821639774
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
HUTCHINSON CLINIC, PA, INC.
Doing business as
Hutchinson Clinic Diabetes Prevention Program
Practice address
2101 N Waldron St
Hutchinson, KS 67502-1197
Phone
(620) 694-4194
Fax
(620) 694-2128
NPI assigned
Oct 2, 2019
Last updated
Oct 2, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
HUTCHINSON CLINIC P A INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Authorized official

Name
Beverly Ann Nagengast
Title
Credentialing Specialist
Phone
(620) 694-4194

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X
Nutrition Education Nutritionist 133NN1002X
Registered Dietitian 133V00000X
Diabetes Educator Registered Nurse 163WD0400X
Health Educator 174H00000X Primary

Addresses

Primary practice location

2101 N Waldron St
Hutchinson, KS 67502-1197

Mailing address

2101 N Waldron St
Hutchinson, KS 67502-1197
Phone (620) 694-4194

Other names 1

  • Hutchinson Clinic Diabetes Prevention Program Doing business as

National Provider Directory

National Provider Directory
Part of
Lyons Medical Center

Locations

3715 6th St
Great Bend, KS 67530
Phone (620) 669-2500

1100 N Main St
Hutchinson, KS 67501
Phone (620) 669-2500

2101 N Waldron St
Ste B
Hutchinson, KS 67502
Phone (620) 669-2500

760 W D Ave
Kingman, KS 67068
Phone (620) 532-0295

619 N Main St
McPherson, KS 67460
Phone (620) 504-6530

215 S Pine St
#303
Newton, KS 67114
Phone (316) 283-0033

Practitioners & affiliated clinicians

Practitioners 185

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 185

NPI Registry JSON

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1821639774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 N WALDRON ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021197",
            "telephone_number": "620-694-4194",
            "fax_number": "620-694-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 N WALDRON ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021197",
            "telephone_number": "620-694-4194",
            "fax_number": "620-694-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUTCHINSON CLINIC, PA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HUTCHINSON CLINIC P A INC",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "NAGENGAST",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "620-694-4194"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hutchinson Clinic Diabetes Prevention Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hutchinson, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.