Individual provider Active NPI

Megan Celeste Huckabay, FNP-BC

  • Family Nurse Practitioner
  • Terrell, TX
National Provider Identifier
1053036210
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2022001747 Issued in TX
Practice address
1446 W Moore Ave Ste 206
Terrell, TX 75160-2372
Phone
(972) 210-7350
NPI assigned
Oct 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2022001747 TX Primary

Addresses

Primary practice location

1446 W Moore Ave Ste 206
Terrell, TX 75160-2372

Mailing address

1446 W Moore Ave Ste 206
Terrell, TX 75160-2372
Phone (972) 210-7350

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231031000527 TX Practitioner - Nurse Practitioner 4587010343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallas Endovascular PLLCGroup PAC ID 8224494646, 5 clinicians

Practice addresses (Care Compare)

5425 W Spring Creek Pkwy
Suite 100
Plano, TX 75024-4268
Phone (469) 652-7662

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022001747TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Endovascular PLLC CurrentSince Oct 26, 2023 Accepting new patients

Locations

3920 W Wheatland Rd
Ste 108
Dallas, TX 75237
Phone (214) 948-7779

5425 W Spring Creek Pkwy
Ste 100
Plano, TX 75024
Phone (469) 652-7662

Interoperability endpoints

  • Direct secure messaging: megan.huckabay.1@12005.direct.athenahealth.com

Organizations & group practices 1

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": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1053036210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1446 W MOORE AVE STE 206",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751602372",
            "telephone_number": "972-210-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1446 W MOORE AVE STE 206",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751602372",
            "telephone_number": "972-210-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUCKABAY",
        "first_name": "MEGAN",
        "middle_name": "CELESTE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "2022001747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terrell, TX

Sources for this page

Verify at the official NPI Registry.