Active NPI
Diane Grace Hutcheson, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Seattle, WA
National Provider Identifier
1992889174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP30004654
- Practice address
- 6959 California Ave SW
Seattle, WA 98136-1953 - Phone
- (206) 841-2126
- Fax
- (206) 932-4856
- NPI assigned
- Oct 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP30004654 | WA | Primary |
Addresses
Primary practice location
6959 California Ave SW
Seattle, WA 98136-1953
Mailing address
126 SW 148TH St
Suite C100-334
Burien, WA 98166-1984
Phone (206) 841-2126
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HU6630 | Other | WA | REGENCE BLUE SHIELD |
| 9625005 | Medicaid | WA | |
| 133122100000 | Other | WA | PREMERA BLUE CROSS |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avalon Center Inc | 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.
-
- Community/Behavioral Health Agency
- Seattle, WA
- NPI 1548462104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259798400000",
"number": "1992889174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 SW 148TH ST",
"address_2": "SUITE C100-334",
"city": "BURIEN",
"state": "WA",
"postal_code": "981661984",
"telephone_number": "206-841-2126",
"fax_number": "206-932-4856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6959 CALIFORNIA AVE SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981361953",
"telephone_number": "206-841-2126",
"fax_number": "206-932-4856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTCHESON",
"first_name": "DIANE",
"middle_name": "GRACE",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2009-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP30004654",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "HU6630",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9625005",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREMERA BLUE CROSS",
"identifier": "133122100000",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.