Individual provider Active NPI

Nikki Huttinger, MS CCC-SLP

  • Speech-Language Pathologist
  • San Diego, CA
National Provider Identifier
1144623257
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP 21915 Issued in CA
Practice address
3980 9TH Ave
Ste 1
San Diego, CA 92103-3244
Phone
(619) 618-9639
Fax
(866) 875-2620
NPI assigned
Oct 2, 2014
Last updated
Oct 2, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP 21915 CA Primary
Speech-Language Pathologist 235Z00000X 2000172088 MO

Addresses

Primary practice location

3980 9TH Ave
Ste 1
San Diego, CA 92103-3244

Mailing address

3980 9TH Ave Ste 1
San Diego, CA 92103-3247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP 21915CAMDSpeech-Language Pathologist
2000172088MOMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1144623257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 9TH AVE STE 1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 9TH AVE",
            "address_2": "STE 1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033244",
            "telephone_number": "619-618-9639",
            "fax_number": "866-875-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTTINGER",
        "first_name": "NIKKI",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP 21915",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2000172088",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.