Active NPI
Keshia Hutchinsom
- Religious Nonmedical Nursing Personnel
- McDonough, GA
National Provider Identifier
1922416551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Religious Nonmedical Nursing Personnel
- License
- 075R1303
- Practice address
- 1339 Cochran Xing
McDonough, GA 30252-8072 - Phone
- (678) 643-2090
- Fax
- (678) 583-2090
- NPI assigned
- Jul 28, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Religious Nonmedical Nursing Personnel | 374T00000X | 075R1303 | GA | Primary |
| Nurse's Aide | 376K00000X | GA |
Addresses
Primary practice location
1339 Cochran Xing
McDonough, GA 30252-8072
Mailing address
1339 Cochran Xing
McDonough, GA 30252-8072
Phone (678) 643-2090
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
| License | State | Type | Specialty |
|---|---|---|---|
| 075R1303 | GA | MD | Religious Nonmedical Nursing Personnel |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406505600000",
"number": "1922416551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1339 COCHRAN XING",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302528072",
"telephone_number": "678-643-2090",
"fax_number": "678-583-2090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1339 COCHRAN XING",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302528072",
"telephone_number": "678-643-2090",
"fax_number": "678-583-2090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTCHINSOM",
"first_name": "KESHIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-28",
"last_updated": "2014-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "374T00000X",
"taxonomy_group": "",
"desc": "Religious Nonmedical Nursing Personnel",
"state": "GA",
"license": "075R1303",
"primary": true
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "GA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.