Shana Danielle Hutto, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

RN170590 Issued in GA

Practice address

454 Vernon Williams Rd
Hazlehurst, GA 31539-7887

Phone

(912) 750-8801

Fax

(912) 705-8851

NPI assigned

Jun 14, 2018

Last updated

Jun 30, 2021By the provider in NPPES

Sex

Female

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)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1881188779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 HILLSBORO RD",
            "city": "LYONS",
            "state": "GA",
            "postal_code": "304364646",
            "telephone_number": "912-245-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 VERNON WILLIAMS RD",
            "city": "HAZLEHURST",
            "state": "GA",
            "postal_code": "315397887",
            "telephone_number": "912-750-8801",
            "fax_number": "912-705-8851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1497 Fair Rd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304580828",
            "country_code": "US",
            "telephone_number": "912-681-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUTTO",
        "first_name": "SHANA",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN170590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hospital Authority of Jeff Davis County Georgia
• Hospital Authority of Jeff Davis County Georgia (Jeff Davis Family Medical Group)
• Hospital Authority of Jeff Davis County Georgia (Jeff Davis Hospital)
• Brittany Lawrence Hughes, PHARMD
• Kai Bowen Hughes, RN, MSN, PMHNP-BC
• Hyperbaric & Woundcare Inc
• HZ SNF LLC (Hazlehurst Court Care and Rehabilitation Center)
• J H Harvey Co. LLC (Harveys Supermarket Pharmacy #2369)
• Jeff Davis County Board of Health
• Jeff Davis County Schools

• Acute Care Nurse Practitioner in Hazlehurst, GA
• Providers in Hazlehurst, GA by specialty
• Acute Care Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.