Kimberly Renee Hutchens

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

49463 Issued in SC

Practice address

104 George Bishop Pkwy
Myrtle Beach, SC 29579-7335

Phone

(843) 903-6212

NPI assigned

Mar 1, 2020

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Center of Hope of Myrtle Beach, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Myrtle Beach, SC
  • NPI 1720302144
  NPD (past)

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

{
    "created_epoch": "1583020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583020800000",
    "number": "1932733789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 MARGARITA DR UNIT 810",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295772051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 GEORGE BISHOP PKWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295797335",
            "telephone_number": "843-903-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHENS",
        "first_name": "KIMBERLY",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-01",
        "last_updated": "2020-03-01",
        "certification_date": "2020-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "SC",
            "license": "49463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David J. Hunt, DO
• Mikayla Huntley
• Tamera Sharnai Hurlstone, DVM
• Faheem Hussain, M.D.
• Richard Henry Hussey III, M.D.
• Tammy L Hutcheson, LPC, NCC, ACT
• Deanna Lutz Hyde, PHARMD
• Jacob Allen Hyrne, PA-C
• Ellen Ianelli, APN BC
• Iasis Center

• Licensed Practical Nurse in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Licensed Practical Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2020; 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.