Basic Information
| Provider Information | |||||||||
| NPI: | 1578183844 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HUTCHERSON | ||||||||
| FirstName: | KAYA | ||||||||
| MiddleName: | RAIN | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DOULA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 13725 STRUTHERS RD STE 200 | ||||||||
| Address2: | |||||||||
| City: | COLORADO SPRINGS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 809212488 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7193015100 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 13725 STRUTHERS RD STE 200 | ||||||||
| Address2: | |||||||||
| City: | COLORADO SPRINGS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 809212488 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7193015100 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/16/2020 | ||||||||
| LastUpdateDate: | 10/11/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 10/11/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 374J00000X | CO | N | Nursing Service Related Providers | Doula | 106S00000X | 22-225692 | CO | Y |
ID Information
| ID | Type | State | Issuer | Description | 1790211605 | 05 | CO | MEDICAID |