HEATHER C HUCKABY (NPI# 1518510262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518510262 |
| Entity Type | Individual |
| Full Name | HEATHER C HUCKABY |
| Credential | PMHNP |
| Practice Address |
203 Allendale Dr Port Allen LA 70767-3219 |
| Mailing Address |
Po Box 395 Clinton LA 70722-0395 |
| Practice Telephone | 2253891311 |
| Practice Fax Number | 2253891330 |
| Mailing Telephone | 2256835292 |
| Mailing Fax Number | 2256831310 |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2019-07-22 |
| 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 |
207321 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | LOUISIANA STATE BOARD OF NURSING | 207321 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497182125 | Heather Huckaby | Counselor | 321 Cassidy St, Oceanside, CA 92054-5314 | 2013-09-26 |
| Street Address |
203 ALLENDALE DR |
| City | PORT ALLEN |
| State | LA |
| Zip Code | 70767-3219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457381303 | Latoya Kiwan Leonard-hughes | Nurse Practitioner | 203 Allendale Dr, Port Allen, LA 70767-3219 | 2006-07-04 |
| 1235769407 | Katina Nelson | Registered Nurse | 203 Allendale Dr, Port Allen, LA 70767-3219 | 2020-01-16 |
| 1114589967 | Matthew Fuller Irby | Registered Nurse | 203 Allendale Dr, Port Allen, LA 70767-3219 | 2019-07-02 |
| 1154983997 | Krista Marie Miller | Registered Nurse | 203 Allendale Dr, Port Allen, LA 70767-3219 | 2019-07-02 |
| 1033775556 | Jennifer A Harden | Registered Nurse | 203 Allendale Dr, Port Allen, LA 70767-3219 | 2019-05-10 |
| 1538680822 | Shelly Christina Williams | Nurse Practitioner | 203 Allendale Dr, Port Allen, LA 70767-3219 | 2017-06-27 |
| 1326417130 | Robyn Keegan Gilmore | Social Worker | 203 Allendale Dr, Port Allen, LA 70767-3219 | 2015-09-22 |
| 1508241415 | Norshern Bruce | Nurse Practitioner | 203 Allendale Dr, Port Allen, LA 70767-3219 | 2015-07-22 |
| 1528486008 | Kristen F. Saucier | Social Worker | 203 Allendale Dr, Port Allen, LA 70767-3219 | 2014-04-02 |
| 1457625121 | Mica F Sood | Nurse Practitioner | 203 Allendale Dr, Port Allen, LA 70767 | 2012-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386255701 | Empowerment Consultants, LLC | Counselor | 3680 La- 1 South, Port Allen, LA 70767 | 2020-08-10 |
| 1700400934 | Just Health | Clinic/Center | 3975 Rosedale Rd, Port Allen, LA 70767 | 2020-06-03 |
| 1770141756 | Tarshea Joy Williams | Licensed Practical Nurse | 2306 Larguier Lane, Port Allen, LA 70767 | 2019-06-04 |
| 1295264638 | Victoria Williams | Counselor | 6010 Horner Road, Port Allen, LA 70767 | 2017-06-08 |
| 1588015531 | Advantage Dental Care, Dr. Louis L Mason Dds LLC | Dentist | 260 S. Alexander Ave, Port Allen, LA 70767 | 2016-06-30 |
| 1184913493 | Joshua Rai Clark | Family Medicine | 4463 La Highway 1 South, Suite A, Port Allen, LA 70767 | 2011-04-07 |
| 1831386358 | Port City Enterprises, Inc. | Respite Care | 836 N. Seventh St, Port Allen, LA 70767 | 2007-09-28 |
| 1518153139 | Trinity Behavioral Health of Port Allen | Preferred Provider Organization | 2753 Court Street, Unit C, Port Allen, LA 70767 | 2007-09-18 |
| 1912198219 | Arnette Scavella | Pediatrics | 3515 Highway 1 South, Port Allen, LA 70767 | 2007-08-05 |
| 1881814150 | Port City Enterprises, Inc. | Respite Care | 836 N 7th St, Port Allen, LA 70767 | 2007-04-27 |
| Find all providers in zip 70767 | ||||
| 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 |
|---|---|---|---|---|
| 1972113124 | Rebirth Mental Health Services LLC | Nurse Practitioner | 2116 Gause Blvd W Ste E, Slidell, LA 70460-4120 | 2020-08-03 |
| 1427668748 | Julie Susann Dyrek | Nurse Practitioner | 1 Lakeshore Dr Ste 1830, Lake Charles, LA 70629-0114 | 2020-08-01 |
| 1376169979 | Nancy Ariwodo | Nurse Practitioner | 225 Rue La France, Lafayette, LA 70508-1565 | 2020-06-19 |
| 1578183208 | Donald Glyn Gardner II | Nurse Practitioner | 324 Blue Fox Cir, Haughton, LA 71037-7707 | 2020-04-22 |
| 1629604129 | Raelyn Marie Plauche | Nurse Practitioner | 1951 Florida Ave Sw Ste D&e, Denham Springs, LA 70726-4947 | 2020-03-16 |
| 1962035964 | Tyler Trenton Wansley | Nurse Practitioner | 23515 Us-190, Mandeville, LA 70448 | 2020-02-18 |
| 1114558715 | Danielle J Threatts Aprn LLC | Nurse Practitioner | 208 W Gloria Switch Rd Ste 219, Lafayette, LA 70507-3409 | 2020-02-01 |
| 1992359848 | Harold G Frizzell Psychiatric Services LLC | Nurse Practitioner | 300 Thompson Loop, Lafayette, LA 70506-2820 | 2019-07-29 |
| 1598227779 | Candyce Brown | Nurse Practitioner | 333 Dr Michael Debakey Dr Ste 220, Lake Charles, LA 70601-5888 | 2019-04-04 |
| 1659835346 | Cassandra Thomas-jingles Psychiatric Nurse Practitioner, LLC. | Nurse Practitioner | 156 Mcgehee Dr, Baton Rouge, LA 70815-5012 | 2019-01-26 |
| Find all providers with the same taxonomy | ||||
| City | PORT ALLEN |
| Zip Code | 70767 |
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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.