MARK LEE HUFFMAN (NPI# 1730275082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730275082 |
| Entity Type | Individual |
| Full Name | MARK LEE HUFFMAN |
| Credential | RN |
| Practice Address |
12500 Bruceville Rd Elk Grove CA 95757-9784 |
| Mailing Address |
2636 Carmichael Way Carmichael CA 95608-5316 |
| Practice Telephone | 9168741866 |
| Practice Fax Number | 9168741926 |
| Mailing Telephone | 9164862636 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN390870 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235538794 | Mark Huffman | Pharmacist | 7550 S 19th Ave, Phoenix, AZ 85041-6502 | 2014-08-20 |
| 1609965920 | Mark Daniel Huffman | Internal Medicine | 676 N Saint Clair St, Suite 600, Chicago, IL 60611-2927 | 2006-10-12 |
| 1841232782 | Mark Stephen Huffman | Pathology | 830 S Gloster St, Tupelo, MS 38801-4934 | 2006-06-12 |
| 1821085457 | Mark David Huffman | Ophthalmology | 503 N Main St, London, KY 40741-1217 | 2005-09-29 |
| Street Address |
12500 BRUCEVILLE RD |
| City | ELK GROVE |
| State | CA |
| Zip Code | 95757-9784 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871132159 | My Phuong Nguyen | Pharmacist | 12500 Bruceville Rd, Elk Grove, CA 95757-9784 | 2020-01-03 |
| 1861995730 | Stacy Lynn Cone | Social Worker | 12500 Bruceville Rd, Elk Grove, CA 95757-9784 | 2018-03-16 |
| 1649772534 | Angelica Banuelos | Social Worker | 12500 Bruceville Rd, Elk Grove, CA 95757-9784 | 2018-03-06 |
| 1073948766 | David B Fahn | Social Worker | 12500 Bruceville Rd, Elk Grove, CA 95757-9784 | 2013-09-12 |
| 1235418617 | Morgan Candia | Social Worker | 12500 Bruceville Rd, Elk Grove, CA 95757-9784 | 2011-08-16 |
| 1184934010 | Tracy Elizabeth Hall | Social Worker | 12500 Bruceville Rd, Elk Grove, CA 95757-9784 | 2010-10-13 |
| 1447410774 | Gretel Erica Pate | Registered Nurse | 12500 Bruceville Rd, Elk Grove, CA 95757-9784 | 2008-06-10 |
| 1336236777 | Judith L Golden | Social Worker | 12500 Bruceville Rd, Elk Grove, CA 95757-9784 | 2006-10-06 |
| 1780770800 | Nancy Phelps White | Registered Nurse | 12500 Bruceville Rd, Elk Grove, CA 95757-9784 | 2006-10-05 |
| 1518053461 | Steve Glenn Cortez | Counselor | 12500 Bruceville Rd, Elk Grove, CA 95757-9784 | 2006-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447896600 | Cassandra Jan Cassas I | Behavior Technician | 9832 Tundra Swan, Elk Grove, CA 95757 | 2019-11-22 |
| 1386287027 | Winslow Dds Inc. | Clinic/Center | 10043 Bruceville Road, Unit 160, Elk Grove, CA 95757 | 2019-10-25 |
| 1386206696 | Daniel & Max, LLC | Optometrist | 7150 Elk Grove Blvd, Elk Grove, CA 95757 | 2019-07-08 |
| 1033684865 | Lua Davidson | Behavioral Analyst | 5504 Aspen Grove Ln, Elk Grove, CA 95757 | 2018-10-08 |
| 1821578386 | Michele Elizabeth Amato | Behavior Technician | 8350 Lotz Parkway, Elk Grove, CA 95757 | 2018-08-15 |
| 1043759632 | Costco Wholesale Corporation | Pharmacy | 7400 Elk Grove Boulevard, Elk Grove, CA 95757 | 2017-02-16 |
| 1497207351 | Ron Dancy | Genetic Counselor, MS | 9864 West Taron Dr, Elk Grove, CA 95757 | 2016-10-26 |
| 1780051524 | Jesselle Pablo | Counselor | 10227 Pedra Do Sol Way, Elk Grove, CA 95757 | 2015-08-27 |
| 1851708945 | Yen Ngoc Hoang | Pharmacist | 8257 Hopewell Drive, Elk Grove, CA 95757 | 2014-07-21 |
| 1477742070 | Nkechi Akudo Nzerem-johnson | Pediatrics | Dignity Health Medical Plaza, 8220 Wymark Drive Suite 200, Elk Grove, CA 95757 | 2007-10-18 |
| Find all providers in zip 95757 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639677032 | Rita Ann Rich | Registered Nurse | 3137 Dwight Rd Ste 600, Elk Grove, CA 95758-6472 | 2018-01-31 |
| 1124573001 | Arlene B Concepcion | Registered Nurse | 10512 Raptor Ct, Elk Grove, CA 95757-1675 | 2016-08-20 |
| 1740826510 | Richard Camaya Asuncion | Registered Nurse | 7601 Jacinto Rd, Elk Grove, CA 95758-9505 | 2019-11-26 |
| 1780770800 | Nancy Phelps White | Registered Nurse | 12500 Bruceville Rd, Elk Grove, CA 95757-9784 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063998 | Jonathan Eguia | Registered Nurse | 10161 Croydon Way Ste 2, Sacramento, CA 95827-2107 | 2020-11-03 |
| 1396346961 | Patricia Yamilet Morales | Registered Nurse | 18300 Roscoe Blvd Dignity Health- Northridge Hospital M, Northridge, CA 91325 | 2020-11-02 |
| 1881292910 | Molly E Reid | Registered Nurse | 1000 S Grand Ave Apt 451, Los Angeles, CA 90015-3474 | 2020-10-12 |
| 1699372375 | Shawnalle Guadalupe Guzman | Registered Nurse | 125 Rowardennan Dr, Ben Lomond, CA 95005-9388 | 2020-10-06 |
| 1760091201 | Amara Michella Altman | Registered Nurse | 1796 Camino Verde Apt C, Walnut Creek, CA 94597-2291 | 2020-07-30 |
| 1609484476 | Loretta Lynn Ballard | Registered Nurse | 11514 Poema Pl Unit 102, Chatsworth, CA 91311-1114 | 2020-07-17 |
| 1174141550 | Aline Marie Bales | Registered Nurse | 1669 Marina Way, Brentwood, CA 94513-5133 | 2020-07-11 |
| 1447874730 | Deborah Colleen Rheinfurth | Registered Nurse | 25727 Mcbean Parkway, Valencia, CA 91355 | 2020-06-02 |
| 1235767393 | Julianne Vilardi | Registered Nurse | 3410 Birdsall Ave Unit B, Oakland, CA 94619-2621 | 2020-04-01 |
| 1275169328 | Jennifer Khan | Registered Nurse | 4201 Topanga Canyon Blvd Spc 113, Woodland Hills, CA 91364-5262 | 2020-03-20 |
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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.