NPIMap

Organization Active NPI

HLT Nutrition Co Inc.

  • Registered Dietitian
  • Brawley, CA
National Provider Identifier
1104690189
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
HLT NUTRITION CO INC.
Practice address
4231 US Highway 86 Ste 1
Brawley, CA 92227-9648
Phone
(760) 996-4717
NPI assigned
Nov 10, 2023
Last updated
Oct 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Annabel Marie Huber, RDNPI 1225457294
Title
President
Phone
(760) 996-4717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

4231 US Highway 86 Ste 1
Brawley, CA 92227-9648

Mailing address

PO Box 64
Brawley, CA 92227-0064
Phone (760) 996-4717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251201003304 CA Part B Supplier - Clinic/Group Practice 4880187616 Receives reassigned benefits from 1 practitioner
Practice locations: Brawley, CA

National Provider Directory

National Provider Directory

Locations

4231 US Highway 86
Brawley, CA 92227

605 W H St
Ste 116
Brawley, CA 92227

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1104690189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922270064",
            "telephone_number": "760-996-4717",
            "fax_number": "888-549-9864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4231 US HIGHWAY 86 STE 1",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922279648",
            "telephone_number": "760-996-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HLT NUTRITION CO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-10",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "HUBER",
        "authorized_official_first_name": "ANNABEL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-996-4717",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brawley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.