Healthcare Provider Details

I. General information

NPI: 1194518969
Provider Name (Legal Business Name): LYDIA HUTCHISON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2025
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 N SENATE AVE
INDIANAPOLIS IN
46202-5306
US

IV. Provider business mailing address

11101 E GREGORY RD
ALBANY IN
47320-9047
US

V. Phone/Fax

Practice location:
  • Phone: 317-962-5539
  • Fax:
Mailing address:
  • Phone: 765-228-9428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number71017089A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code163WF0300X
TaxonomyFlight Registered Nurse
License Number28167002A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License Number28167002A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: