MR. WALT HUTTON III (NPI# 1336658731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336658731 |
| Entity Type | Individual |
| Full Name | MR. WALT HUTTON III |
| Credential | NP |
| Practice Address |
2187 N Vickey St Flagstaff AZ 86004-6121 |
| Practice Telephone | 9285271899 |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2018-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP10645 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2187 N VICKEY ST |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86004-6121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770573743 | Daniel Cady | Psychologist | 2187 N Vickey St, Flagstaff, AZ 86004-6106 | 2005-10-21 |
| 1194289124 | Bethel J Mccoy | Counselor | 2187 N Vickey St, Flagstaff, AZ 86004-6121 | 2019-01-23 |
| 1689148314 | Todd Hooe | Behavioral Analyst | 2187 N Vickey St, Flagstaff, AZ 86004-6121 | 2019-01-16 |
| 1366913923 | Janice Enloe | Nurse Practitioner | 2187 N Vickey St, Flagstaff, AZ 86004-6121 | 2018-12-07 |
| 1962910760 | Phillip Casey Dubravcic | Nurse Practitioner | 2187 N Vickey St, Flagstaff, AZ 86004-6121 | 2018-01-15 |
| 1992212716 | Kelly C Donohue | Psychologist | 2187 N Vickey St, Flagstaff, AZ 86004-6121 | 2018-01-02 |
| 1073035531 | Ann Elizabeth Iverson-dawson | Counselor | 2187 N Vickey St, Flagstaff, AZ 86004-6121 | 2017-07-16 |
| 1548621923 | Cody Bayles | Counselor | 2187 N Vickey St, Flagstaff, AZ 86004-6121 | 2016-03-14 |
| 1386037729 | Adam Kimball Geno | Nurse Practitioner | 2187 N Vickey St, Flagstaff, AZ 86004-6121 | 2015-03-10 |
| 1700215191 | Kerry Chapley | Nurse Practitioner | 2187 N Vickey St, Flagstaff, AZ 86004-6121 | 2013-11-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598387805 | Michael Joseph Oxtoby | Counselor | 2625 N. King St., Flagstaff, AZ 86004 | 2020-05-08 |
| 1083264501 | Dazhoni Elizabeth Scott | Counselor | 1500 E. Cedar Avenue #26, 2110 N. East St Apt C, Flagstaff, AZ 86004 | 2019-09-17 |
| 1760948046 | Emily Bauerle | Social Worker | 3009 N West St, Flagstaff, AZ 86004 | 2019-02-12 |
| 1992295745 | Kaibab Behavioral Services, Pllc | Behavioral Analyst | 2323 E Greenlaw Lane, Suite 12a, Flagstaff, AZ 86004 | 2018-05-17 |
| 1083115364 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 8800 Marys Drive, Flagstaff, AZ 86004 | 2018-02-22 |
| 1710391081 | Janet Coleman | Hearing Instrument Specialist | 1851 E Butler Avenue, Flagstaff, AZ 86004 | 2014-06-16 |
| 1568703163 | Mercy Timoh | Pharmacist | 4255 E. Soliere Ave., Flagstaff, AZ 86004 | 2013-03-06 |
| 1053617217 | Scott Nichols | Veterinarian | 6122 Abineau Canyon Drive, Flagstaff, AZ 86004 | 2011-02-07 |
| 1366745218 | Karoline S. Mariano | Registered Nurse | 3480 East Route 66, Flagstaff, AZ 86004 | 2010-12-15 |
| 1912209719 | Payal Parekh | Pharmacist | 1500 E Cedar, Flagstaff, AZ 86004 | 2010-11-30 |
| Find all providers in zip 86004 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750864252 | Stephen Evan Taylor | Nurse Practitioner | 1890 N Venus Dr, Flagstaff, AZ 86001-2503 | 2018-09-11 |
| 1902105661 | Joanne Ivy Isaacs | Nurse Practitioner | 620 1/2 W Birch Ave, Flagstaff, AZ 86001-4416 | 2011-03-21 |
| 1649334293 | Maria Margaret Denny | Nurse Practitioner | Fronske Health Ctr, P.o. 6033, Flagstaff, AZ 86011-0001 | 2006-12-20 |
| 1407829997 | Marsha J Ashurst | Nurse Practitioner | 2700 W Lynette Dr, Flagstaff, AZ 86001-1028 | 2006-02-07 |
| 1285269852 | Cameo Johnson Np, Pllc | Nurse Practitioner | 914 N San Francisco St Ste D, Flagstaff, AZ 86001-3254 | 2020-03-04 |
| 1518590553 | Cameo Elizabeth Johnson | Nurse Practitioner | 914 N San Francisco St Ste D, Flagstaff, AZ 86001-3254 | 2020-02-18 |
| 1215580469 | Rachel Bonvillain Josefchuk | Nurse Practitioner | 1515 E Cedar Ave Ste B-4, Flagstaff, AZ 86004-1645 | 2019-07-17 |
| 1508428368 | Rebecca Landon | Nurse Practitioner | 1338 W Forest Meadows St Ste 140, Flagstaff, AZ 86001-7226 | 2019-07-02 |
| 1396227609 | Phoenix Mental Health and Wellness Pllc | Nurse Practitioner | 914 N San Francisco St Ste D, Flagstaff, AZ 86001-3254 | 2018-09-04 |
| 1912484437 | Joan Marie Moore | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2018-07-26 |
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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.