BILLY DEREK HUDDLESTON (NPI# 1538766597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538766597 |
| Entity Type | Individual |
| Full Name | BILLY DEREK HUDDLESTON |
| Practice Address |
4661 Cool Ridge Ct Fort Worth TX 76133-3831 |
| Practice Telephone | 5013661919 |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2020-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
4661 COOL RIDGE CT |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76133-3831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740830645 | Dieseru Healthcare Services LLC. | Technician | 2325 Woodmont Trail, Forth Worth, TX 76133 | 2019-09-13 |
| 1447636212 | Westcreek Animal Clinic P.C. | Veterinarian | 3313 Park Lake Dr., Fort Worth, TX 76133 | 2015-08-04 |
| 1750784286 | Tlc Dentistry of Fort Worth, LLC | Dentist | 7664 Mccart Ave., Fort Worth, TX 76133 | 2014-09-29 |
| 1184047581 | Jene Hunt | Pharmacist | 6225 Westcreek Dr, Fort Worth, TX 76133 | 2014-01-22 |
| 1841538972 | Chelsea Rene Sanders | Speech-Language Pathologist | 6036 Worrell Dr, Fort Worth, TX 76133 | 2013-01-24 |
| 1588926026 | Roger Allan Beck | Internal Medicine | 4509 Fox Fire Way, Fort Worth, TX 76133 | 2012-06-11 |
| 1477812857 | Little Star Rehab | Point of Service | 4525 Altamesa Blvd, Fort Worth, TX 76133 | 2012-05-07 |
| 1477824605 | Lauren Elizabeth Hall | Speech-Language Pathologist | 5316 Trail Lake Drive, Fort Worth, TX 76133 | 2012-01-19 |
| 1770772519 | Sherriann Michelle Erby | Occupational Therapist | 7100 Trail Lake Drive, Fort Worth, TX 76133 | 2007-10-17 |
| 1811193170 | Carol Diane Edley | Speech-Language Pathologist | 4400 Sweetgum Way, Ft Worth, TX 76133 | 2007-06-25 |
| Find all providers in zip 76133 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607373 | Benjamin Allen Barrett | Student in an Organized Health Care Education/Training Program | 12244 Langley Hill Dr, Fort Worth, TX 76244-5544 | 2020-10-17 |
| 1942828371 | Ellener Harper | Student in an Organized Health Care Education/Training Program | 9232 Oldwest Trl, Fort Worth, TX 76131-3114 | 2020-07-13 |
| 1396374005 | Mikel Robert Bell | Student in an Organized Health Care Education/Training Program | 855 Montgomery St Ste 257, Fort Worth, TX 76107-2553 | 2020-04-04 |
| 1750919171 | William Thomas Cates | Student in an Organized Health Care Education/Training Program | 3248 W 7th St Apt 308, Fort Worth, TX 76107-2804 | 2020-03-31 |
| 1710514690 | Javier Eduardo Ordonez | Student in an Organized Health Care Education/Training Program | 3512 Princess Victoria Ct, Fort Worth, TX 76137-6074 | 2020-03-23 |
| 1548896749 | Eric Bash | Student in an Organized Health Care Education/Training Program | 6137 Obsidian Creek Dr, Fort Worth, TX 76179-1543 | 2020-03-19 |
| 1700417821 | Abigail U Davis | Student in an Organized Health Care Education/Training Program | 5113 Glen Canyon Rd, Fort Worth, TX 76137-4104 | 2020-01-28 |
| 1699312439 | Lacey Jane Arnett | Student in an Organized Health Care Education/Training Program | 3305 West Cantey St, Fort Worth, TX 76129-0001 | 2019-11-27 |
| 1699322396 | Anastasia Davis | Student in an Organized Health Care Education/Training Program | 3628 Woodmoor Rd, Fort Worth, TX 76133-6336 | 2019-08-19 |
| 1336795566 | Munkhzul Jamsran | Student in an Organized Health Care Education/Training Program | 8616 Scenic Green Cir Apt 10301, Fort Worth, TX 76244-9141 | 2019-08-13 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76133 |
Please comment or provide details below to improve the information on BILLY DEREK HUDDLESTON.
| 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.