Individual provider Active NPI

Alonda Edward Hutchinson, NP

  • Gerontology Nurse Practitioner
  • Greenville, TX
National Provider Identifier
1831898998
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1108201 Issued in TX
Practice address
4910 Wellington St
Greenville, TX 75402-6007
Phone
(903) 454-3772
NPI assigned
Feb 27, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1108201 TX Primary

Addresses

Primary practice location

4910 Wellington St
Greenville, TX 75402-6007

Mailing address

1509 Shalain Dr
Garland, TX 75040-4368
Phone (662) 798-9022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230330001363 TX Practitioner - Nurse Practitioner 9638543812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.64 of 100Reported as group
Quality
76.13
Improvement activities
40
Cost
69.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1108201TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Medical PC CurrentSince Jan 19, 2023 Accepting new patients

Locations

250 Skillman St
Ste 204
Brooklyn, NY 11205
Phone (513) 341-7173

250 Skillman St
Ste 202
Brooklyn, NY 11205

4910 Wellington St
Greenville, TX 75402
Phone (903) 454-3772

411 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 885-7668

8001 Western Hills Blvd
Wht Settlemt, TX 76108
Phone (817) 246-4953

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1831898998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 SHALAIN DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750404368",
            "telephone_number": "662-798-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 WELLINGTON ST",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754026007",
            "telephone_number": "903-454-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHINSON",
        "first_name": "ALONDA",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1108201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

Verify at the official NPI Registry.