Individual provider Active NPI

Misty Rhiannon Hutton, DC, MAOM, LAC

  • Chiropractor
  • Crestline, CA
National Provider Identifier
1588020499
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33114 Issued in CA
Practice address
25268 Ca-18
Crestline, CA 92325
Phone
(909) 338-6477
NPI assigned
Jan 7, 2016
Last updated
Oct 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 4551; LAC-829 NC
Chiropractor 111N00000X 33114 CA Primary
Nutrition Chiropractor 111NN1001X 33114 CA
Acupuncturist 171100000X 16296 CA

Addresses

Primary practice location

25268 Ca-18
Crestline, CA 92325

Mailing address

PO Box 1831
Crestline, CA 92325-1831
Phone (909) 338-6477

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL drrhiannonhutton@gmail.com Direct

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 4551; LAC-829NCMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1588020499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1831",
            "city": "CRESTLINE",
            "state": "CA",
            "postal_code": "923251831",
            "telephone_number": "909-338-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25268 CA-18",
            "city": "CRESTLINE",
            "state": "CA",
            "postal_code": "92325",
            "telephone_number": "909-338-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTTON",
        "first_name": "MISTY",
        "middle_name": "RHIANNON",
        "name_prefix": "Dr.",
        "credential": "DC, MAOM, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-07",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "DC 4551; LAC-829",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33114",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "CA",
            "license": "33114",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "16296",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drrhiannonhutton@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Gmail HIPPA compliant email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Gmail HIPPA compliant email",
            "address_1": "801 Glenneyre St Ste F",
            "city": "Laguna Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926512751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crestline, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.