Annalycia Victoria Hutt

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

MPSS-BGEYNR Issued in CA

Practice address

3517 Camino del Rio S
San Diego, CA 92108-4026

Phone

(619) 955-8905

NPI assigned

Dec 1, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1508461328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 MOORLAND DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921096675",
            "telephone_number": "916-897-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3517 CAMINO DEL RIO S",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084026",
            "telephone_number": "619-955-8905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11650 Iberia Pl Ste 130",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921282431",
            "country_code": "US",
            "telephone_number": "858-264-5858",
            "fax_number": "858-649-6012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9600 Center Ave Ste 160",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917305838",
            "country_code": "US",
            "telephone_number": "858-264-5858",
            "fax_number": "858-649-6012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 W Ventura Blvd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930109142",
            "country_code": "US",
            "telephone_number": "858-264-5858",
            "fax_number": "858-649-6012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUTT",
        "first_name": "ANNALYCIA",
        "middle_name": "VICTORIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-BGEYNR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Elizabeth Huth, M.D.
• Allison Hutson, RBT
• Dylan Hutson
• Katherine Lee Hutson
• Shandee Miquelle Hutson, M.D.
• Nikki Huttinger, MS CCC-SLP
• Robert Eugene Hutto, DDS
• Kelly J Hutton, LMFT
• Shannon Eileen Hutton, FNP-C
• Huynh and Habashi Dental Corporation (Bay Park Dentistry Dental Group)

• Peer Specialist in San Diego, CA
• Providers in San Diego, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.