HUTCHINSON CLINIC, PA, INC. (NPI# 1821639774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821639774 |
| Entity Type | Organization |
| Organization Name | HUTCHINSON CLINIC, PA, INC. |
| Practice Address |
2101 N Waldron St Hutchinson KS 67502-1197 |
| Practice Telephone | 6206944194 |
| Practice Fax Number | 6206942128 |
| Mailing Telephone | 6206944194 |
| Mailing Fax Number | 6206942128 |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2019-10-02 |
| Authorized Official Name | BEVERLY ANN NAGENGAST (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 6206944194 |
| Is Organization Subpart | Y |
| Parent Organization Name | HUTCHINSON CLINIC P A INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133N00000X | Nutritionist | Dietary & Nutritional Service Providers | ||
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers | ||
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| N | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
Nursing Service Providers | ||
| Y | 174H00000X | Health Educator | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Hutchinson Clinic Diabetes Prevention Program | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336795384 | Hutchinson Clinic, Pa, Inc. | Dietitian, Registered | 2101 N Waldron St, Hutchinson, KS 67502-1197 | 2019-08-15 |
| 1285926493 | Hutchinson Clinic, Pa, Inc. | Clinic/Center | 1100 N Main St, Hutchinson, KS 67501-4406 | 2011-05-05 |
| Street Address |
2101 N WALDRON ST |
| City | HUTCHINSON |
| State | KS |
| Zip Code | 67502-1197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356347215 | Mark Anthony Yackley | Internal Medicine | 2101 N Waldron St, Hutchinson, KS 67502-1131 | 2005-06-24 |
| 1871108712 | Sydney Lane Piles | Nurse Practitioner | 2101 N Waldron St, Hutchinson, KS 67502-1131 | 2020-09-08 |
| 1477184497 | Halle Miller | Physician Assistant | 2101 N Waldron St, Hutchinson, KS 67502-1197 | 2020-01-29 |
| 1689213381 | Beth Nicole Guy | Nurse Practitioner | 2101 N Waldron St, Hutchinson, KS 67502-1197 | 2019-12-27 |
| 1336795384 | Hutchinson Clinic, Pa, Inc. | Dietitian, Registered | 2101 N Waldron St, Hutchinson, KS 67502-1197 | 2019-08-15 |
| 1457905333 | Kathy Mailloux | Registered Nurse | 2101 N Waldron St, Hutchinson, KS 67502-1197 | 2019-07-29 |
| 1720632615 | Brooke Davis | Health Educator | 2101 N Waldron St, Hutchinson, KS 67502-1197 | 2019-07-29 |
| 1609336783 | Anda Marie Entz | Nurse Practitioner | 2101 N Waldron St, Hutchinson, KS 67502-1197 | 2019-03-23 |
| 1528539517 | Stephanie Kay Isaacson | Nurse Practitioner | 2101 N Waldron St, Hutchinson, KS 67502-1197 | 2018-12-17 |
| 1720563984 | Savannah Lea Wilson | Physician Assistant | 2101 N Waldron St, Hutchinson, KS 67502-1131 | 2018-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770032054 | Maryann M Hawkinson | Nurse Practitioner | 2700 E 30th, Hutchinson, KS 67502 | 2016-09-27 |
| 1801257415 | Kenneth Lee Herdt | Hearing Instrument Specialist | 210 E 30th Ave Ste 112, Hutchinson, KS 67502 | 2016-03-09 |
| 1588072052 | Kim Swafford | Pharmacist | 1791 E 23rd, Hutchinson, KS 67502 | 2014-07-29 |
| 1790095438 | Stanley R Kjellberg | Assisted Living Facility | 1909 Landon Street, Hutchinson, KS 67502 | 2010-10-15 |
| 1366752164 | Andrea L Bribiesca | Case Manager/Care Coordinator | 14 17th Crestview, Hutchinson, KS 67502 | 2010-10-14 |
| 1649592569 | Christopher Lee Bailey | Pharmacist | 1320 E. 30th Ave, Hutchinson, KS 67502 | 2010-02-19 |
| 1245464619 | Travis L Gillespie | Dentist | 200 E 30th Ave Ste A, Hutchinson, KS 67502 | 2009-05-13 |
| 1659522548 | Owens Optical | Eyewear Supplier (Equipment, not the service) | 522 -e- 30th, Hutchinson, KS 67502 | 2008-10-09 |
| 1386848026 | Ruth Elaine Buell | Occupational Therapist | 1202 East 23rd St., Hutchinson, KS 67502 | 2007-06-14 |
| 1326260308 | Darron D. Veh | Physical Therapist | 2500 E. 30th, Hutchinson, KS 67502 | 2007-05-02 |
| Find all providers in zip 67502 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720632615 | Brooke Davis | Health Educator | 2101 N Waldron St, Hutchinson, KS 67502-1197 | 2019-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063984581 | Alison Wiley | Health Educator | Johnson County Health and Environment, 11875 S. Sunset Drive Suite 300, Olathe, KS 66061-6606 | 2018-12-21 |
| 1477053551 | Kate Lesnar | Health Educator | 11721 Roe Ave, Leawood, KS 66211-2605 | 2018-02-15 |
| 1285141341 | Jessica Ann Berg Moffitt | Health Educator | 2110 Fort St, Hays, KS 67601-2933 | 2018-01-10 |
| 1427508647 | Young Men's Christian Association of Salina, Kansas | Health Educator | 570 Ymca Dr, Salina, KS 67401-7433 | 2016-10-12 |
| 1518414333 | Young Men's Christian Association of Southwest Kansas, Inc | Health Educator | 1224 Center St, Garden City, KS 67846-4643 | 2016-09-09 |
| 1336695287 | The Young Men's Christian Association of Wichita, Kansas | Health Educator | 402 N Market St, Wichita, KS 67202 | 2016-08-31 |
| 1538447693 | Melissa Marie Huff | Health Educator | 26189 Fairfield Rd, Alma, KS 66401-8856 | 2011-07-23 |
| 1922395631 | Teresa Lynn Marshall | Health Educator | 9341 W 194th Ter, Bucyrus, KS 66013-9677 | 2011-07-01 |
| 1013215953 | Connie Sue Jacobs | Health Educator | 606 S 9th St, Kiowa, KS 67070-1911 | 2011-03-01 |
| 1124638887 | Angie Cassity | Health Educator | 8200 E Thorn Dr, Wichita, KS 67226-2709 | 2020-08-06 |
| Find all providers with the same taxonomy | ||||
| City | HUTCHINSON |
| Zip Code | 67502 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.