Etta Marie Hughes

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1255 Kendall Rd
San Luis Obispo, CA 93401-8750

Phone

(805) 458-2596

Fax

(805) 541-9480

NPI assigned

Mar 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Marie Bolin Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1922130103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 OAKRIDGE PARK RD",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934554558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 KENDALL RD",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934018750",
            "telephone_number": "805-458-2596",
            "fax_number": "805-541-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "ETTA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "BOLIN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lisa Huet, LCSW
• Diane Huettner, RN
• Anthony John Huffaker
• Jenna Marie Hufford
• Kathleen Elizabeth Huggins, R.N., M.S., IBCLC
• Joseph Hughes
• Margot Hughes
• Aaron Huhtala
• Christopher S Hulburd, M.D.
• Hullander and Mozingo LP (Pacific Pain Physicians)

• Case Manager/Care Coordinator in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; 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.