Shandee Miquelle Hutson, M.D.

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

License

A110197 Issued in CA

Practice address

3003 Health Center Drive
San Diego, CA 92354-2804

Phone

(858) 939-4198

Fax

(858) 939-4972

NPI assigned

Sep 10, 2008

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Loma Linda University Medical Center

  • General Acute Care Hospital
  • Loma Linda, CA
  • NPI 1194731935
  NPD (past)
• San Diego Neonatology, Inc.

  • Neonatal-Perinatal Medicine Physician
  • San Diego, CA
  • NPI 1356585954
  NPD (past)

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1326297730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8555 AERO DRIVE, SUITE 104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92123",
            "telephone_number": "858-384-7828",
            "fax_number": "858-598-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 HEALTH CENTER DRIVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "923542804",
            "telephone_number": "858-939-4198",
            "fax_number": "858-939-4972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTSON",
        "first_name": "SHANDEE",
        "middle_name": "MIQUELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "CA",
            "license": "A110197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A901670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly J Hutchison, COTA
• Nancy Elizabeth Huth, M.D.
• Allison Hutson, RBT
• Dylan Hutson
• Katherine Lee Hutson
• Annalycia Victoria Hutt
• Nikki Huttinger, MS CCC-SLP
• Robert Eugene Hutto, DDS
• Kelly J Hutton, LMFT
• Shannon Eileen Hutton, FNP-C

• Neonatal-Perinatal Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Neonatal-Perinatal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.