Individual provider Active NPI

Hannah Michaele Huddleston, M.D.

  • Dermatology Physician
  • Earlysville, VA
National Provider Identifier
1023285335
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101272119 Issued in VA
Practice address
5050 Snowy Ridge LN
Earlysville, VA 22936-1835
Phone
(317) 201-0836
NPI assigned
May 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 01064846A IN
Dermatology Physician 207N00000X 0101272119 VA Primary

Addresses

Primary practice location

5050 Snowy Ridge LN
Earlysville, VA 22936-1835

Mailing address

5050 Snowy Ridge LN
Earlysville, VA 22936-1835
Phone (317) 201-0836

Other names 1

  • Hannah Michaele Strickland Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20221221002494 TX Practitioner - Dermatology 1951479773 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01064846AINMDDermatology Physician
0101272119VAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
US Health Dept of Health & Human Services Current Accepting new patients
U S Health Dept of Health & Human Services CurrentSince Nov 26, 2022 Accepting new patients
US Dept of HHS CurrentSince Nov 26, 2022 Accepting new patients
Eagle Butte Indian Health Service Hospital CurrentSince Sep 13, 2022 Accepting new patients
Rosebud Indian Health Service CurrentSince Oct 18, 2023 Accepting new patients
Quentin N Burdick Comprehensive Health Care Facility CurrentSince Jan 31, 2023 Accepting new patients
Rosebud Indian Health Service CurrentSince Oct 18, 2023 Accepting new patients
U S Health Dept of Health & Human Services Past Accepting new patients
U S Health Dept of Health & Human Services Past Accepting new patients

Locations

669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100

453 Pine Grove Rd
Hays, MT 59527
Phone (406) 353-3190

1300 Hospital Loop
Belcourt, ND 58316

4100 W 150th St
#3
Cleveland, OH 44135

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1023285335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 SNOWY RIDGE LN",
            "city": "EARLYSVILLE",
            "state": "VA",
            "postal_code": "229361835",
            "telephone_number": "317-201-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 SNOWY RIDGE LN",
            "city": "EARLYSVILLE",
            "state": "VA",
            "postal_code": "229361835",
            "telephone_number": "317-201-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDDLESTON",
        "first_name": "HANNAH",
        "middle_name": "MICHAELE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2023-03-03",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "01064846A",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101272119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "STRICKLAND",
            "middle_name": "MICHAELE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Earlysville, VA

Sources for this page

Verify at the official NPI Registry.