Individual provider Active NPI

Michelle Hutt, AP6123863

  • Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1982364600
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP6123863 Issued in WA
Practice address
1633 Westlake Ave N Ste 105
Seattle, WA 98109-6241
Phone
(253) 561-1789
NPI assigned
Dec 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP6123863 WA Primary

Addresses

Primary practice location

1633 Westlake Ave N Ste 105
Seattle, WA 98109-6241

Mailing address

14321 20TH Avenue CT S
Spanaway, WA 98387-9013
Phone (253) 316-2224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20220414000042 WA Order and Referring Only - Nurse Practitioner 9830585116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP6123863WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Creek SNF Healthcare LLC Past Accepting new patients

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": "1640044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1982364600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14321 20TH AVENUE CT S",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983879013",
            "telephone_number": "253-316-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 WESTLAKE AVE N STE 105",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981096241",
            "telephone_number": "253-561-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTT",
        "first_name": "MICHELLE",
        "credential": "AP6123863",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP6123863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.