Individual provider Active NPI

Lara Huffman, M.D.

  • Psychiatry Physician
  • Hayti, MO
National Provider Identifier
1013987510
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2012032360 Issued in MO
Practice address
946 E Reed St
Hayti, MO 63851-1243
Phone
(573) 359-1372
Fax
(573) 359-3608
NPI assigned
Jan 25, 2006
Last updated
Jun 11, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2012032360 MO Primary

Addresses

Primary practice location

946 E Reed St
Hayti, MO 63851-1243

Mailing address

907 E Reed St
Hayti, MO 63851-1242
Phone (573) 359-3660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TN, MO3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110308000498 AR Practitioner - Psychiatry 3971785262 Reassigns benefits to 3 organizations
I20130824000170 TN Practitioner - Psychiatry 3971785262 Reassigns benefits to 1 organization
I20150306002047 MO Practitioner - Psychiatry 3971785262 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Tennessee, HSC, College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pivot Integrative Health LLCGroup PAC ID 8426403916, 6 clinicians
Owl Adventures LLCGroup PAC ID 2961834916, 3 clinicians
Pemiscot County Memorial HospitalGroup PAC ID 8426024159, shared by 8 NPIs, 22 clinicians

Practice addresses (Care Compare)

1150 E Matthews Ave
Suite 101a
Jonesboro, AR 72401-4356
Phone (870) 243-0424

323 S Church St
Jonesboro, AR 72401-2913
Phone (870) 273-3980

501 Ward Ave
Caruthersville, MO 63830-1661

946 E Reed St
Hayti, MO 63851-1243

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2012032360MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Owl Adventures LLC Psychiatry CurrentSince Apr 25, 2019 Accepting new patients
North Arkansas Regional Medical Center Psychiatry CurrentSince Jul 11, 2013 Accepting new patients
Pemiscot County Memorial Hospital CurrentSince Jan 27, 2015 Accepting new patients
Pemiscot County Memorial Hospital CurrentSince Jan 27, 2015 Accepting new patients
Pemiscot County Memorial Hospital Current Accepting new patients
Renew Mental Health and Wellness LLC CurrentSince Sep 1, 2019 Accepting new patients
Renew Mental Health and Wellness, LLC CurrentSince Sep 1, 2019 Accepting new patients
Pemiscot County Memorial Hospital CurrentSince Aug 17, 2020 Accepting new patients
Pivot Integrative Health LLC CurrentSince Mar 10, 2024 Accepting new patients
North Arkansas Regional Medical Center CurrentSince Jul 11, 2013 Accepting new patients
Piggott Community Hospital Current Accepting new patients
Selah Health Psychiatry Past Accepting new patients

Locations

620 N Main St
Harrison, AR 72601
Phone (870) 365-2000

620 N Main St
Ste 2B
Harrison, AR 72601
Phone (870) 414-4000

1150 E Matthews Ave
Ste 101A
Jonesboro, AR 72401
Phone (870) 243-0424

323 S Church St
Jonesboro, AR 72401
Phone (870) 273-3980

1206 Gordon Duckworth Dr
Piggott, AR 72454
Phone (870) 598-3881

501 Ward Ave
Caruthersvlle, MO 63830
Phone (573) 479-3036

907 E Reed St
Hayti, MO 63851
Phone (573) 359-3230

946 E Reed St
Hayti, MO 63851
Phone (573) 359-3408

Networks

  • MS PPO
  • MS PPO C-SNP
  • MS PPO D-SNP

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DACGCA/Endpoint/DACGCA

Organizations & group practices 12

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1013987510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 E REED ST",
            "city": "HAYTI",
            "state": "MO",
            "postal_code": "638511242",
            "telephone_number": "573-359-3660",
            "fax_number": "573-359-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 E REED ST",
            "city": "HAYTI",
            "state": "MO",
            "postal_code": "638511243",
            "telephone_number": "573-359-1372",
            "fax_number": "573-359-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFMAN",
        "first_name": "LARA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2012032360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayti, MO

Sources for this page

Verify at the official NPI Registry.