Individual provider Active NPI

Lauren Hutto, PH.D.

  • Psychologist
  • Tallahassee, FL
National Provider Identifier
1477088227
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY7211 Issued in FL
Practice address
715 W Gaines St
Tallahassee, FL 32306-1603
Phone
(850) 644-9916
Fax
(850) 644-6591
NPI assigned
Apr 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY7211 FL Primary
School Psychologist 103TS0200X SS898 FL

Addresses

Primary practice location

715 W Gaines St
Tallahassee, FL 32306-1603

Mailing address

715 W Gaines St
Tallahassee, FL 32306-1603
Phone (850) 644-9916

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY7211FLMDPsychologist
SS898FLMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Multidisciplinary Center Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493337600000",
    "number": "1477088227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 W GAINES ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323061603",
            "telephone_number": "850-644-9916",
            "fax_number": "850-644-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W GAINES ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323061603",
            "telephone_number": "850-644-9916",
            "fax_number": "850-644-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTTO",
        "first_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-28",
        "last_updated": "2017-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY7211",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS898",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.