Active NPI
Mary J Huggins, FNP
- Family Nurse Practitioner
- Clinton, MO
National Provider Identifier
1093003030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2011020053
- Practice address
- 1600 N 2ND St
Clinton, MO 64735-1192 - Phone
- (660) 885-8171
- Fax
- (660) 885-8496
- NPI assigned
- Jul 12, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2011020053 | MO | Primary |
Addresses
Primary practice location
1600 N 2ND St
Clinton, MO 64735-1192
Mailing address
59 SW 446TH Rd
Clinton, MO 64735-8400
Phone (660) 885-8171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011020053 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Valley Memorial Hospital District | Current | Accepting new patients | |
| Golden Valley Memorial Hospital District | Current | Accepting new patients | |
| Carespot Professional Services LLC | Current | Accepting new patients | |
| Golden Valley Memorial Hospital District | Current | Accepting new patients |
Locations
9507 Antioch Rd
Overland Park, KS 66212
Phone (913) 227-4631
1215 NE Coronado Dr
Blue Springs, MO 64014
Phone (816) 622-3342
1600 N 2nd St
Clinton, MO 64735
Phone (660) 885-8171
Interoperability endpoints
- mary.huggins@2664.securemail.prognocis.com
Organizations & group practices 4
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.
-
dba Golden Valley Medical - Clinton
- Rural Health Clinic/Center
- Clinton, MO
- NPI 1003873266
-
dba GVMH Medical East
- Clinic/Center
- Clinton, MO
- NPI 1396379830
-
- General Acute Care Hospital
- Clinton, MO
- NPI 1710075361
-
dba CareNow
- Urgent Care Clinic/Center
- Overland Park, KS
- NPI 1568703783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476230400000",
"number": "1093003030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 SW 446TH RD",
"city": "CLINTON",
"state": "MO",
"postal_code": "647358400",
"telephone_number": "660-885-8171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 N 2ND ST",
"city": "CLINTON",
"state": "MO",
"postal_code": "647351192",
"telephone_number": "660-885-8171",
"fax_number": "660-885-8496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGGINS",
"first_name": "MARY",
"middle_name": "J",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-12",
"last_updated": "2016-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2011020053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.