Melissa Rene Hutzell, ATC, MS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1 Panther Way
Vista, CA 92084-3128

Phone

(760) 726-5611

NPI assigned

Oct 7, 2014

Last updated

Jan 21, 2021By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1629471453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2943 BOUNDARY ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921045206",
            "telephone_number": "209-401-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PANTHER WAY",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920843128",
            "telephone_number": "760-726-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTZELL",
        "first_name": "MELISSA",
        "middle_name": "RENE",
        "name_prefix": "Ms.",
        "credential": "ATC, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-07",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Vista, CA
• Providers in Vista, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.