Individual provider Active NPI

Hayley Husha Mouttet, MB BCH BAO

  • Child Abuse Pediatrics Physician
  • Orlando, FL
National Provider Identifier
1861783755
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Abuse Pediatrics PhysicianTaxonomy code 2080C0008X
License
ME155927 Issued in FL
Practice address
601 W Michigan St
Orlando, FL 32805-6203
Phone
(407) 317-7430
Fax
(407) 648-8213
NPI assigned
Apr 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Abuse Pediatrics Physician 2080C0008X ME155927 FL Primary

Addresses

Primary practice location

601 W Michigan St
Orlando, FL 32805-6203

Mailing address

601 W Michigan St
Orlando, FL 32805-6203
Phone (407) 317-7430

Other identifiers 1

IdentifierTypeStateIssuer
115764500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220809000022 FL Practitioner - Pediatric Medicine 0941682843 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME155927FLMDChild Abuse Pediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Sep 1, 2022 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Sep 1, 2022 Accepting new patients

Locations

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

601 W Michigan St
Orlando, FL 32805
Phone (407) 317-7430

Organizations & group practices 2

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": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1861783755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W MICHIGAN ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328056203",
            "telephone_number": "407-317-7430",
            "fax_number": "407-648-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W MICHIGAN ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328056203",
            "telephone_number": "407-317-7430",
            "fax_number": "407-648-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUTTET",
        "first_name": "HAYLEY",
        "middle_name": "HUSHA",
        "name_prefix": "Dr.",
        "credential": "MB BCH BAO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-26",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080C0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Child Abuse Pediatrics",
            "state": "FL",
            "license": "ME155927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115764500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.