Austen Hutchison, MS, LAT, ATC, SMTC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT6069 Issued in TX

Practice address

4210 Boat Club Rd
Fort Worth, TX 76135-2606

Phone

(817) 306-4200

NPI assigned

Feb 8, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1831896133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "492 SANDLIN LN",
            "city": "SPRINGTOWN",
            "state": "TX",
            "postal_code": "760826607",
            "telephone_number": "714-566-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 BOAT CLUB RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761352606",
            "telephone_number": "817-306-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHISON",
        "first_name": "AUSTEN",
        "credential": "MS, LAT, ATC, SMTC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT6069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deana Jamal Hussamy, M.D.
• Sahar Hussein, DDS
• Amy Hussey, DO
• Denise W. Hutcherson, CRNA
• Richard Milam Hutcheson, M.D.
• Clifford Ross Hutchison Jr., D.D.S.
• Huynh Vision Services Inc PC
• Anh Huynh
• Jacquelyn Thu Huynh
• Kevin Thuysy Huynh, DO

• Athletic Trainer in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.