MR. TYSON HUTCHISON


Address: 12600 Creekside Ln, Suite 6, Fort Myers, FL 33919
Phone: 2393439237

MR. TYSON HUTCHISON (NPI# 1063834653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063834653
Entity Type Individual
Full Name MR. TYSON HUTCHISON
Credential ARNP
Practice Address 12600 Creekside Ln
Suite 6
Fort Myers
FL 33919
Mailing Address Po Box 2147
Fort Myers
FL 33902-2147
Practice Telephone 2393439237
Practice Fax Number 2393439238
Mailing Telephone 2393435537
Mailing Fax Number 2393438249
Enumeration Date 2014-01-16
Last Update Date 2020-09-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
9278598 FL Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
ARNP9278598 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL MEDICARE 1063834653 01
FL 012641500 05

Office Location

Street Address 12600 CREEKSIDE LN
SUITE 6
City FORT MYERS
State FL
Zip Code 33919

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902898471 Michael P. Shain Psychologist 12600 Creekside Ln, Suite 7, Fort Myers, FL 33919 2005-08-19
1598044745 Cristina Maria Larrazaleta Fajardo Internal Medicine 12600 Creekside Ln, Suite 7, Fort Myers, FL 33919-3353 2011-08-05
1760791107 Amie Nichole Peterson Nurse Practitioner 12600 Creekside Ln, Suite 6, Fort Myers, FL 33919-3353 2010-10-04
1972756005 Tanja Mani Psychologist 12600 Creekside Ln, Suite 6, Fort Myers, FL 33919 2008-11-03
1457551400 Neurology Associates of Lee County Specialist 12600 Creekside Ln, Suite 7, Fort Myers, FL 33919-3353 2007-07-18
1003970336 Denise M Mcpherson Nurse Practitioner 12600 Creekside Ln, Suite 7, Fort Myers, FL 33919-3353 2006-12-21
1568415438 Cathleen L Zerbe Nurse Practitioner 12600 Creekside Ln, Suite 6, Fort Myers, FL 33919-3353 2006-05-19
1669425732 Mary Lewis Nurse Practitioner 12600 Creekside Ln, Suite 6, Fort Myers, FL 33919-3353 2006-05-18
1437146339 Judith Petrin Clinical Nurse Specialist 12600 Creekside Ln, Suite 7, Fort Myers, FL 33919-3353 2005-10-05
1649263724 Lmr Imaging Radiology 12600 Creekside Ln, Fort Myers, FL 33919-3353 2005-08-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073145942 Patricia June Briand Registered Nurse 4309 Mariner Way #307, Fort Myers, FL 33919 2020-02-10
1629556840 The Onyx Counseling Center, LLC Social Worker 6361 Presidential Ct Ste 101, Fort Myers, FL 33919 2018-07-31
1366980187 My Precious Kids Therapy Center Inc Community/Behavioral Health 4755 Summerlin Road, Suite #4, Fort Myers, FL 33919 2017-02-01
1811342397 Kimberly Regenesis Substance Abuse Rehabilitation Facility 8695 College Parkway, Suite 2080, Ft Myers, FL 33919 2016-05-03
1689030207 Balance for All, Inc. Acupuncturist 6238 Presidential Ct., Ste 6, Fort Myers, FL 33919 2016-01-12
1902275217 Kelly Jean Overton Physical Therapist 6341 Whiskey Creek Drive, Fort Myers, FL 33919 2015-09-16
1508125311 Charles Clark Dugan IIi Chiropractor 6309 Corporate Court, Suite 110, Fort Myers, FL 33919 2012-05-14
1659641231 Dasha Bich Le Pharmacist 9629 Bay Harbor Cir., Apt. 201, Fort Myers, FL 33919 2012-01-12
1164792602 Gail Lee Rathbun Nurse Practitioner 6311 S. Pointe Blvd., Fort Meyers, FL 33919 2011-12-30
1871878173 Scott Kozlowski Behavioral Analyst 5335 Shalley Cir., Ft. Myers, FL 33919 2011-10-18
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790384154 Melissa Connors Nurse Practitioner 15609 Fiddlesticks Blvd, Fort Myers, FL 33912-3902 2020-10-18
1982202412 Amanda Shively Nurse Practitioner 7951 Reflection Cove Dr Apt 102, Fort Myers, FL 33907-6560 2020-10-16
1205433828 Kenneth Midoneck Nurse Practitioner 4445 Kings Barn Ct Unit 305, Fort Myers, FL 33916-8031 2020-10-06
1881218246 Miraleen Patel Nurse Practitioner 5710 Trailwinds Dr Apt 524, Fort Myers, FL 33907-8338 2020-06-02
1194350348 Zuleima Lozada Nurse Practitioner 13691 Metro Pkwy Ste 110a, Fort Myers, FL 33912-4348 2020-03-09
1962034686 Kathleen A Shelton Nurse Practitioner 9371 Cypress Lake Dr Ste 16, Fort Myers, FL 33919-4945 2020-02-11
1275173155 Optimal Healing Healthcare Services, LLC Nurse Practitioner 10143 Chesapeake Bay Dr, Fort Myers, FL 33913-9184 2020-01-08
1033760731 Jaclyn Mason Nurse Practitioner 18431 Hawthorne Rd, Fort Myers, FL 33967-3276 2019-09-24
1245894419 Sonya Brielle Hayhurst Nurse Practitioner 16026 Via Solera Cir Apt 102, Fort Myers, FL 33908-7706 2019-04-23
1083175871 Jackelin Smith Nurse Practitioner 10685 Essex Square Blvd, Fort Myers, FL 33913-2612 2019-03-26
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Competitor

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City FORT MYERS
Zip Code 33919

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Dataset Information

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.

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