Individual provider Active NPI

Joshua Caine Huckaby, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Jacksboro, TN
National Provider Identifier
1114545381
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
29652 Issued in TN
Practice address
153 E Memorial LN
Jacksboro, TN 37757-4702
Phone
(423) 912-5026
NPI assigned
Jul 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 230380 TN
Family Nurse Practitioner 363LF0000X 29652 TN Primary

Addresses

Primary practice location

153 E Memorial LN
Jacksboro, TN 37757-4702

Mailing address

153 E Memorial LN
Jacksboro, TN 37757-4702
Phone (423) 912-5026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20211018001848 TN Practitioner - Nurse Practitioner 0547668808 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Lincoln Memorial University Medical Department, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NP Health of TN PLLCGroup PAC ID 5395159883, 41 clinicians
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

136 Davis LN
La Follette, TN 37766-3118
Phone (423) 562-0760

350 S Charles G Seivers Blvd
Clinton, TN 37716-3929
Phone (931) 253-1110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
230380TNMDRegistered Nurse
29652TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Aug 21, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Aug 21, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Nov 17, 2022 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients

Locations

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

350 S Charles G Seivers Blvd
Clinton, TN 37716
Phone (865) 290-2313

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

2019 Jacksboro Pike
La Follette, TN 37766
Phone (423) 437-3093

1181 Dolly Parton Pkwy
Sevierville, TN 37862
Phone (865) 446-1433

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 6

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": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1114545381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 E MEMORIAL LN",
            "city": "JACKSBORO",
            "state": "TN",
            "postal_code": "377574702",
            "telephone_number": "423-912-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 E MEMORIAL LN",
            "city": "JACKSBORO",
            "state": "TN",
            "postal_code": "377574702",
            "telephone_number": "423-912-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUCKABY",
        "first_name": "JOSHUA",
        "middle_name": "CAINE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-13",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "230380",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "29652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksboro, TN

Sources for this page

Verify at the official NPI Registry.