Individual provider Active NPI

Deah Rebecca Huff, W.H.N.P.

  • Nurse Practitioner
  • Chatom, AL
National Provider Identifier
1003921263
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-133796 Issued in AL
Practice address
14900 Saint Stephens Ave
Chatom, AL 36518-6715
Phone
(251) 847-2245
NPI assigned
Aug 20, 2006
Last updated
Mar 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-133796 AL Primary
Women's Health Nurse Practitioner 363LW0102X R859705 MS
Registered Nurse 163W00000X 1-133796 AL

Addresses

Primary practice location

14900 Saint Stephens Ave
Chatom, AL 36518-6715

Mailing address

14900 Saint Stephens Ave
Chatom, AL 36518-6715
Phone (251) 847-2245

Other identifiers 1

IdentifierTypeStateIssuer
06303269MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-133796ALMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lucedale OBGYN Center Past Accepting new patients
State of Alabama Department of Public Health Past Accepting new patients
Lucedale OB/GYN Center PastSince Jul 19, 2011 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1003921263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14900 SAINT STEPHENS AVE",
            "city": "CHATOM",
            "state": "AL",
            "postal_code": "365186715",
            "telephone_number": "251-847-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14900 SAINT STEPHENS AVE",
            "city": "CHATOM",
            "state": "AL",
            "postal_code": "365186715",
            "telephone_number": "251-847-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFF",
        "first_name": "DEAH",
        "middle_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "W.H.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-133796",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MS",
            "license": "R859705",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-133796",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06303269",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatom, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.