KELLY L HUFFAKER (NPI# 1326682790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326682790 |
| Entity Type | Individual |
| Full Name | KELLY L HUFFAKER |
| Credential | PMHNP-BC |
| Practice Address |
4001 E Baseline Rd Ste 204 Gilbert AZ 85234-2743 |
| Mailing Address |
2647 E Butte Cir Mesa AZ 85213-8432 |
| Practice Telephone | 4805656440 |
| Practice Fax Number | 4804541085 |
| Mailing Telephone | 4802392106 |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2019-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RNP234095 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4001 E BASELINE RD STE 204 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234-2743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730349390 | Desert Sun Health Centers, PC | Obstetrics & Gynecology | 4001 E Baseline Rd Ste 204, Gilbert, AZ 85234-2743 | 2008-06-16 |
| 1821602319 | Estefana Johnson | Social Worker | 4001 E Baseline Rd Ste 204, Gilbert, AZ 85234-2743 | 2020-09-02 |
| 1740822105 | Neal Nicholas Holden | Social Worker | 4001 E Baseline Rd Ste 204, Gilbert, AZ 85234-2743 | 2019-10-16 |
| 1891353843 | Alyssa Probert | Social Worker | 4001 E Baseline Rd Ste 204, Gilbert, AZ 85234-2743 | 2019-06-04 |
| 1417494881 | Kendra Jean Linck | Counselor | 4001 E Baseline Rd Ste 204, Gilbert, AZ 85234-2743 | 2017-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| 1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
| 1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
| 1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
| 1770052292 | San Tan Behavioral Health Services | Respite Care | 3970 East Juanita Avenue, Gilbert, AZ 85234 | 2018-11-14 |
| 1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
| 1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
| 1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
| 1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
| 1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
| Find all providers in zip 85234 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871191593 | Lisa E Legg | Nurse Practitioner | 1480 E Pecos Rd Apt 3107, Gilbert, AZ 85295-1851 | 2020-10-14 |
| 1215549274 | Maria Graciela Cornejo | Nurse Practitioner | 3421 S Loback Ln, Gilbert, AZ 85297-7913 | 2020-08-20 |
| 1407475999 | Amanda Lowry | Nurse Practitioner | 3634 E Leslie Dr, Gilbert, AZ 85296-2862 | 2020-04-14 |
| 1780243295 | June Elizabeth Rolph | Nurse Practitioner | 1400 N Gilbert Rd Ste G-2, Gilbert, AZ 85234-2321 | 2019-06-08 |
| 1194284729 | Kege Health, LLC | Nurse Practitioner | 1206 E Warner Rd Ste 101f, Gilbert, AZ 85296 | 2019-03-13 |
| 1194946012 | Joan Ili | Nurse Practitioner | 1240 E Century Ave, Gilbert, AZ 85296-1304 | 2007-05-01 |
| 1619993458 | Elizabeth A. Mcmorran | Nurse Practitioner | 690 E Warner Rd Ste 127, Gilbert, AZ 85296-3057 | 2006-07-14 |
| 1689271645 | Melinda Marra | Nurse Practitioner | 2730 S Val Vista Dr Ste 146, Gilbert, AZ 85295-1679 | 2020-10-02 |
| 1376160978 | Landis Brook Stokum | Nurse Practitioner | 2730 S Val Vista Dr Ste 146, Gilbert, AZ 85295-1679 | 2020-06-30 |
| 1073142386 | Amber Valerie Leonhardt | Nurse Practitioner | 3271 E Queen Creek Rd Ste 101, Gilbert, AZ 85297-8511 | 2020-04-07 |
| Find all providers in GILBERT | ||||
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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.