MELISSA KAY HUTTON (NPI# 1528344876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528344876 |
| Entity Type | Individual |
| Full Name | MELISSA KAY HUTTON |
| Credential | PA-C |
| Practice Address |
80 Grand Ave Ste 500 Oakland CA 94612-3756 |
| Mailing Address |
3448 Mowry Ave Fremont CA 94538-1422 |
| Practice Telephone | 5109930200 |
| Mailing Telephone | 5103733000 |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2018-11-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
53167 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9106285 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PHYSICAIN ASSISTANT LICENSE | PA9106285 | 01 |
| CA | PHYSICIAN ASSISTANT LICENSE | 53167 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3448 Mowry Ave, Fremont, CA 945381422 | 5103733000 | |
| 1070 N Stone St, Suite A, Deland, FL 327200919 | 3869437100 | 3867382624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730280611 | Melissa Mcallister Hutton | Nurse Practitioner | 6223 Watermark Dr, Apt. 104, Riverview, FL 33578-3977 | 2006-09-26 |
| 1114392347 | Melissa Jane Hutton | Nurse Anesthetist, Certified Registered | 400 Celebration Pl, Kissimmee, FL 34747-4970 | 2015-12-14 |
| Street Address |
80 GRAND AVE STE 500 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94612-3756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023065760 | Michael Andre Lenoir | Allergy & Immunology | 80 Grand Ave Ste 500, Oakland, CA 94612-3756 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766284 | Olivia Vega | Behavior Technician | 155 Grand Ave Suite 500, Oakland, CA 94612 | 2020-09-25 |
| 1700418001 | Thera Share | Counselor | 1714 Franklin St #411, Oakland, CA 94612 | 2020-02-05 |
| 1386284644 | Nicole Yolanda Satterfield | Behavioral Analyst | 180 Grand, Oakland, CA 94612 | 2020-01-14 |
| 1992365514 | Integrative Fertility | Acupuncturist | 449 15th St, #101, Oakland, CA 94612 | 2019-06-17 |
| 1578029500 | Emma Noble | Hearing Instrument Specialist | 2201 Broadway Ste 328, Oakland, CA 94612 | 2019-02-14 |
| 1992299143 | Lutchmia Lizonia Engelbrecht | Community Health Worker | 160 14th St Apt 501, Oakland, CA 94612 | 2018-06-20 |
| 1417446444 | Ruth L Richards | Psychiatry & Neurology | 475 Fourteenth St, Ninth Floor, Oakland, CA 94612 | 2018-05-04 |
| 1033618384 | Thomas Plumber | Case Manager/Care Coordinator | 1389 Jefferson St Oakland California Apt D210, Oakland, CA 94612 | 2018-02-01 |
| 1992221774 | Victoria Davina Casillas | Counselor | 559 16th Street, Oakland, CA 94612 | 2017-08-14 |
| 1356864854 | Mackenzie Sodestrom | Marriage & Family Therapist | 287 17th St Ste 205, Oakland, CA 94612 | 2017-07-17 |
| Find all providers in zip 94612 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700286937 | Rebecca Craft Hu | Physician Assistant | 400 29th St Ste 501, Oakland, CA 94609-3550 | 2014-08-25 |
| 1093841249 | Melinda D Stoner | Physician Assistant | 311 N Fourth St, Ste 1, Oakland, MD 21550-1371 | 2007-02-24 |
| 1316472392 | Amber Dawn King | Physician Assistant | 311 N 4th St, Oakland, MD 21550-1371 | 2017-04-27 |
| 1033577895 | Aubree Anne Larson | Physician Assistant | 1411 E 31st St, Oakland, CA 94602-1018 | 2016-02-08 |
| 1710322664 | Allyse Wharton | Physician Assistant | 350 30th St, Oakland, CA 94609-3424 | 2013-05-06 |
| 1518203652 | Hoai-huong Viet Tran | Physician Assistant | 3600 Broadway, Oakland, CA 94611-5730 | 2012-12-18 |
| 1518215375 | Rocio Veronica Carbona | Physician Assistant | 9 Pleasant St, Oakland, ME 04963-5074 | 2012-08-27 |
| 1801141700 | Susanne Tennant Valenti | Physician Assistant | 747 52nd St, Oakland, CA 94609-1809 | 2012-07-17 |
| 1679848550 | Angela Gomez | Physician Assistant | 275 W Macarthur, Oakland, CA 94611-5641 | 2012-03-12 |
| 1952682320 | Dena Beckner | Physician Assistant | 311 N 4th St, Suite 1, Oakland, MD 21550-1371 | 2011-08-30 |
| Find all providers in OAKLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.