SANDRA L HUTCHISON (NPI# 1497761332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497761332 |
| Entity Type | Individual |
| Full Name | SANDRA L HUTCHISON |
| Other Name | SANDRA-LYNN FRANCES PIETTE |
| Credential | P.A. |
| Practice Address |
830 Ainsworth Drive Prescott AZ 86301-1614 |
| Mailing Address |
830 Ainsworth Dr Prescott AZ 86301-1630 |
| Practice Telephone | 9287760325 |
| Practice Fax Number | 9287760405 |
| Mailing Telephone | 9287760325 |
| Mailing Fax Number | 9287760405 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2019-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2716 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 120430 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2820 N Glassford Hill Rd Ste 107, Prescott Valley, AZ 863142256 | 9287728553 | 9287723861 |
| 203 S Candy Ln Ste 14, Cottonwood, AZ 863264120 | 9286393387 | 9286340311 |
| 18325 N Allied Way Ste 120, Phoenix, AZ 850543107 | 9287760325 | 9287760405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730223025 | Sandra Beckford Hutchison | Social Worker | 1913 J N Pease Pl Ste 104, Charlotte, NC 28262-4537 | 2007-02-19 |
| 1710030275 | Sandra Kay Hutchison | Family Medicine | 403 Ogletree Dr Ste 105, Livingston, TX 77351-9444 | 2007-01-19 |
| Street Address |
830 AINSWORTH DRIVE |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301-1614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336129667 | Charles H Johnson | Dermatology | 830 Ainsworth Drive, Prescott, AZ 86301-1614 | 2006-01-20 |
| 1639385644 | Russell Lanny Hunter | Dermatology | 830 Ainsworth Drive, Prescott, AZ 86301-1614 | 2007-05-15 |
| 1629193644 | Deborah J. Pallett | Physician Assistant | 830 Ainsworth Drive, Prescott, AZ 86301-1614 | 2007-03-20 |
| 1235227729 | Juliette M Mccaffrey | Physician Assistant | 830 Ainsworth Drive, Prescott, AZ 86301-1614 | 2006-10-10 |
| 1629099072 | Ray W. Johnson | Dermatology | 830 Ainsworth Drive, Prescott, AZ 86301-1614 | 2006-07-21 |
| 1942234901 | Anthony E. Scardino Jr. | Dermatology | 830 Ainsworth Drive, Prescott, AZ 86301-1614 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598046070 | Landon Keith Stribe | Physician Assistant | 726 Gail Gardner Way Ste B, Prescott, AZ 86305-2316 | 2011-08-29 |
| 1841303690 | Samuel Clark Reid-mckee | Physician Assistant | Navahcs 500 North Hwy 89, Prescott, AZ 86313 | 2006-08-16 |
| 1922037431 | Dawn Annette Garcia | Physician Assistant | 3769 Crossings Dr Ste D, Prescott, AZ 86305-7121 | 2006-06-30 |
| 1962459040 | Kristine A Weaver-miller | Physician Assistant | 811 Ainsworth Dr Ste 109, Prescott, AZ 86301 | 2006-05-27 |
| 1952387813 | Karen Lynn Raffensperger | Physician Assistant | Medical Services of Prescott, 1003 Willow Creek Road, Prescott, AZ 86301 | 2005-12-21 |
| 1609862275 | Maria Therese Boedigheimer | Physician Assistant | 3120 Clearwater Dr, Prescott, AZ 86305-7131 | 2005-09-20 |
| 1992708523 | Mark A Thiele | Physician Assistant | 1223 Willow Creek Rd, Prescott, AZ 86301-1427 | 2005-05-27 |
| 1376027540 | Lizette Leach | Physician Assistant | 3655 Crossings Dr, Prescott, AZ 86305-7101 | 2018-09-24 |
| 1215455886 | Madison Smith | Physician Assistant | 1090 Commerce Dr, Prescott, AZ 86305 | 2017-09-05 |
| 1245774397 | Stephen Green | Physician Assistant | 1003 Willow Creek Rd, Prescott, AZ 86301-1641 | 2016-12-08 |
| Find all providers in PRESCOTT | ||||
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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.